Renal - Urology Flashcards
Definition - Varicocele
Abnormal dilatation of spermatic veins
Presentation - Varicocele
Asymptomatic
Scrotal mass
Diagnosis - Varicocele
Clinical
Doppler USS if uncertain
Referral - Varicocele
Urgent 2 week wait referral to urology if concerned about malignancy = symptoms not diminishing on lying down OR right sided varicocele
Management - Varicocele
Reassurance and observation
Surgery in some cases
Complications - Varicocele
Infertility
Testicular atrophy
Commonly Affected Area - Varicocele
Left testicle
Definition - Incontinence
Unintentional passage of urine
Diagnosis - Incontinence
Bladder diary
Examination
Urinalysis
Urodynamic studies
Conservative Management - Incontinence
Pelvic floor exercises
Lifestyle modifications e.g. weight loss, smoking cessation, fluid intake changes
Medical Management - Incontinence
Stress = duloxetine
Urge = oxybutynin or mirabegron
Surgical Management Options - Incontinence
Bulking injections
Retropubic suspension
Definition - Stress Incontinence
Incontinence on effort or exertion
Definition - Urge Incontinence
Incontinence accompanied by or immediately preceded by urgency
Definition - Testicular Torsion
Twisting of the testis around their arterial supply