Penis and Testicular Surgery Flashcards
What is a hypospadias?
A hypospadias is the incomplete development of the urethra
caused by an abnormal opening of the urethral meatus.
Jaffe RA, Schmiesing CA, Golianu B. Anesthesiologist’s
Manual of Surgical Procedures. 5th ed. Philadelphia, PA:
Wolters Kluwer Health, 2014: 1369.
What is the most frequent preoperative diagnosis for
pediatric patients presenting for orchiopexy?
Nonpalpable testis or cryptorchidism
Jaffe RA, Schmiesing CA, Golianu B. Anesthesiologist’s
Manual of Surgical Procedures. 5th ed. Philadelphia, PA:
Wolters Kluwer Health, 2014: 1374.
What is cryptorchidism?
Undescended testis
Jaffe RA, Schmiesing CA, Golianu B. Anesthesiologist’s
Manual of Surgical Procedures. 5th ed. Philadelphia, PA:
Wolters Kluwer Health, 2014: 1374.
What is a penectomy?
A penectomy is the partial or total resection of the penis due to
squamous-cell carcinoma of the penile skin.
Jaffe RA, Schmiesing CA, Golianu B. Anesthesiologist’s
Manual of Surgical Procedures. 5th ed. Philadelphia, PA:
Wolters Kluwer Health, 2014: 910.
List possible complications of a hydrocele repair.
Testicular vessel damage, vas deferens damage, contralateral
hernia formation, and a very small incidence of infertility (if a
bilateral repair was performed).
Jaffe RA, Schmiesing CA, Golianu B. Anesthesiologist’s
Manual of Surgical Procedures. 5th ed. Philadelphia, PA:
Wolters Kluwer Health, 2014: 1338.
What is the main preoperative diagnosis seen in
pediatric patients presenting for simple or radical
orchiectomy?
Testicular tumor
Jaffe RA, Schmiesing CA, Golianu B. Anesthesiologist’s
Manual of Surgical Procedures. 5th ed. Philadelphia, PA:
Wolters Kluwer Health, 2014: 1374.
Is testicular torsion an emergent situation? Why or
why not?
Yes, testicular torsion is a true urologic emergency seen in
pediatric patients. Infarction of the testis will occur within hours
unless treated.
Jaffe RA, Schmiesing CA, Golianu B. Anesthesiologist’s
Manual of Surgical Procedures. 5th ed. Philadelphia, PA:
Wolters Kluwer Health, 2014: 1374.
A testicular torsion must be resolved within what
amount of time to prevent ischemic damage to the
testis that is irreversible?
Within 6 hours of occurrence
Jaffe RA, Schmiesing CA, Golianu B. Anesthesiologist’s
Manual of Surgical Procedures. 5th ed. Philadelphia, PA:
Wolters Kluwer Health, 2014: 913.
1.What is a spermatocele? 2. What is a
spermatocelectomy?
1.A cyst of the epididymis. 2. Surgical excision of the cyst
Jaffe RA, Schmiesing CA, Golianu B. Anesthesiologist’s
Manual of Surgical Procedures. 5th ed. Philadelphia, PA:
Wolters Kluwer Health, 2014: 913.
What is a vasovasostomy?
A vasovasostomy is a procedure performed to restore fertility
through the reconnection of the continuity of the vas deferens.
Dorsch JA, Dorsch SE. A Practical Approach to Anesthesia
Equipment. Philadelphia, PA: Lippincott Williams and Wilkins,
2011: 913.
Why would a simple orchiectomy be performed on
an adult?
A simple orchiectomy is performed in men with metastatic
prostate cancer and is an alternative to medical castration.
Jaffe RA, Schmiesing CA, Golianu B. Anesthesiologist’s
Manual of Surgical Procedures. 5th ed. Philadelphia, PA:
Wolters Kluwer Health, 2014: 913.
What preexisting medical conditions frequently
accompany patients presenting for penile prosthesis
insertion.
Since the majority of these patients are elderly, CHF, COPD,
CAD, PVD, renal impairment, and cerebrovascular disease are
common coexisting disorders.
Jaffe RA, Schmiesing CA, Golianu B. Anesthesiologist’s
Manual of Surgical Procedures. 5th ed. Philadelphia, PA:
Wolters Kluwer Health, 2014: 912.
How is a penile prosthetic implanted?
A penile prosthetic is implanted through either a suprapubic or
penile incision into the corpora cavernosa.
Jaffe RA, Schmiesing CA, Golianu B. Anesthesiologist’s
Manual of Surgical Procedures. 5th ed. Philadelphia, PA:
Wolters Kluwer Health, 2014: 910.
