Urology Flashcards
What is a contraindication for circumcision?
hypospadias
How can chronic urinary retention be managed?
intermittent self catheterisation
How should a patient with pelvic trauma and distended bladder be managed?
suprapubic catheter in case of ureteric trauma
What is the most likely diagnosis of gynaecomastia + painless scrotal lump?
testicular cancer
- occurs due to changes in oestrogen/androgen ratio
What is the definitive investigation for renal stones/renal colic?
non-contrast CT KUB
What is priapism?
unwanted, painful erection lasting hours
What is hypospadias?
when the urethra opens on the underside of the penis
- can be different extents down the penis
Which feature on urine dipstick is most suggestive of UTI?
nitrates
What makes a UTI complicated?
men pregnancy/ postmenopausal anatomical abnormality impaired renal function spread beyond bladder immuncomprimised catheter
What type of stone causes staghorn ?
struvite (magnesium ammonium phosphate)
How should you initially manage 5mm ureteric stone with pain and worsening renal function?
ureteric stent
How should uric acid stones be prevented in a patient with gout?
allopurinol + alkaline citrate
Which scoring system is used for LUTS?
International Prostate Symptom Score (IPSS)
Which symptom does bladder outflow obstruction cause?
hesitancy
An 80-year-old male with previous history Benign Prostate Enlargement, admitted with history of chronic urinary retention. A size 16 Fr catheter was inserted, which drained 900 mls of clear urine. His blood tests showed deranged renal function and bilateral hydronephrosis seen on ultrasound scan of urinary tract.
He had multiple comorbidities and recently had stroke and is on anticoagulant for Atrial fibrillation.
What should be best management option for his condition?
long term catheter (can be intermittent first of all)
