urology

Question 1

paediatric

Answer 1

reconstructing

hernias and hydroceles
UDT (undescended testes)
Childhood UTI
Peno-scrotal conditions

Question 2

hernia

Answer 2

groin swelling

Question 3

Cryptochidism

Answer 3

third trimester event- testis descendence
treatment:
orchidopexy

fertility
1% loss germs cells/ month undescent

malignancy
x3 (probably intra abdominal only)
trauma

Question 4

Circumcision

Answer 4

balanitis Xerotica Obliterancs-absolute

relative: balanoprosthitis
religious
UTI

Question 5

acute scrotum

Answer 5

testicular pain
tortion of testis, torsion appendix testis, epididymitis

trauma, haematocele, incarcerate inguinal hernia

Question 6

UTI

Answer 6

prevent renal scarring
prevent hypertension

lower tract- dysuria and frequency
def: pure growth bacteria >10 5
pyuria
systemic upset: fever, vomiting

mixed growth bacteria, no pyuria no systemic-cystitis

ultrasound scan
renography
micturating cystourethrogram

vesicourethral reflux**

• antibiotic prophylaxis
• trimethoprim- ecoli