Urology Flashcards
What does paediatric urology cover?
Kidneys
Bladder
Testes
Penile abnormalities
What are systemic presentations of urological problems?
Fever Vomiting Failure to thrive Anaemia Hypertension Renal failure
What are local presentations of urological problems?
Pain Changes in urine Abnormal voiding Mass Visible abnormalities Incidental
What are antenatal presentations of urological problems?
Asymptomatic
Permits immediate postnatal assessment
What type of hernia is common in paediatric urology?
A groin swelling
What sex is most likely to have a hernia?
Male
What type of hernia is more common?
Indirect
When is there increased risk of a hernia?
Prematurity
What is the management of hernias in <1yrs?
Urgent referral
Repair
What is the management of hernias in >1yrs?
Electrical referral and repair
What is the management of an incarcerated hernia?
Reduce and repair on same admission
What is a hydrocele?
Scrotal swelling, fluid collects in thin sheath surrounding testicle
What are the signs of a hydrocele?
Painless
Increases with crying, straining, evening
Blueish colour
What is the management of a hydrocele?
Conservative until 5yrs
What is cryptorchidism?
Any testis that cannot be manipulated into bottom half of scrotum
What are the types of cryptorchidism?
True
Retractile
Ectopic
(Ascending testis)
What are testes in scrotum?
Temperature control
What are risk factors for cryptorchidism?
Prematurity
Low birth weight
FHx