Urology surgery

Question 1

What should be co-prescribed with goserelin for prostate cancer?

Answer 1

anti-androgen treatment e.g. cyproteron acetate due to risk of tumour flare
start CYPROTERONE ACETATE 3 days before gonadorelin analogue

Question 2

What malignancy does schisotosoma haematobium infection increase your chances of?

Answer 2

squamous cell carcinoma of the bladder

Question 3

First line investigation in suspected clinically localised prostate cancer?

Answer 3

Multiparametric MRI

Question 4

Complications of transurethral resection of the prostate:

Answer 4

TURP:

TURP syndrome (hyonatraemia, fluid overload, glycine toxicity)
Urethral stricture / UTI
Retrograde ejaculation
Perforation of the prostate

Question 5

Most common type of testicular cancer?

Answer 5

Germ line - seminoma

Question 6

Prevention of uric acid stones?

Answer 6

ALLOPURINOL / URINARY ALKALINIZATION

Question 7

Prevention of oxalate stones?

Answer 7

CHOLESTYRAMINE and PYRIDOXINE reduce urinary oxalate secretion

Question 8

Prevention of calcium renal stones?

Answer 8

high fluid intake
low protein / salt diet
thiazide diuretics

Question 9

Management of renal stones:
<2cm = ?
<2cm in pregnant females= = ?
Complex renal calculi and staghorn calculi = ?
Ureteric calculi less than 5mm = ?

Answer 9

<2cm = lithotripsy
<2cm in pregnancy = ureteroscopy
Complex renal calculi = percutaneous nephrolithotomy
ureteric calculi <5mm = manage expectantly

Question 10

Management of <5mm renal stones?

Answer 10

Will normally pass spontaneously thin 4 weeks of symptoms onset - lithotripsy and nephrolithotomy in severe cases

Question 11

Investigation of choice in renal colic?

Answer 11

non contrast CTKUB - within 14 hours of admission