Urology Flashcards
1
Q
LUTS
- Red flags
A
LUTS Red Flags
- Haematuria
- Bladder pain
- Recurrent UTIs
- Back pain
- Prostate
2
Q
LUTS
- Three stages of micturition
A
LUTS Stages
- Voiding
- Post-micturition
- Storage
3
Q
BPH
- Medical Mx
A
BPH
- Tamulosin
- Alpha 1 blockade - Finasteride
- 5ARI (alpha reductase inhibitor)
4
Q
BPH Surgery
- Risks
A
TURP
- Retrograde ejaculation 80%
- ED 10%
- Repeat 3 years later
- Strictures
5
Q
Overactive bladder
- Mx
A
Overactive bladder
Conservative:
- Weight loss
- Bladder training
Medical:
- Anti-muscarinic
- Oxybutynin
- Solifenacin - B3 agonist
- Mirabegron
Surgical:
- Botox injection
- SNS (nerve stimulation)
6
Q
Stress incontinence
- Mx
A
Stress incontinence:
Conservative:
1. Pelvic floor PT
Medicine:
- Pseudoephedrine
- Duloxetine
- Oestrogen
Surgical
- Peri-urethral Bulking
- Autologous sling
- Retropubic suspension
- Retropubic colposuspension - AUS - Artificial urethral sphincter
7
Q
Balanoposthitis
- S&S
A
Balanoposthitis S&S
- Pigmentation change
- Hypo/hyper
- Post-inflamatory - Pruritis
- Red scaly patches
- Foreskin
- Dysfunctional
- Unhygienic
- Over-washed
- HPV
8
Q
Balanoposthitis
- Mx
- Eczematous
- Seborrheic
- Dermatitis
A
Balanoposthitis
Eczematous
- Topical CST
- Hydrocortisone
- Triamcinolone - Antihistamine
- Hydroxyzine
- Fexofenadine
Seborrhoeic
- Supportive
- Anti-fungal
- CST
- Tacrolimus (CI)
Dermatitis
- CST
- Antihistamine
9
Q
Bladder Cancer
- Histological types
A
Bladder Cancers
90% Urothelial carcinoma
- Muscle invasive
- NMIBC 75%
5% SCC
1% Adenocarcinoma
10
Q
MIBC
- Tx
A
Muscle invasive BC
- Cystectomy
- Radical radiotherapy
- Palliation
11
Q
NMIBC
- Tx
A
Non-MI BC
- TURBC
- Intravesical chemo
- Mitomycin (30-120 mins) - Delayed intravesical
- BCG - Radical cystectomy
