UROLOGY(Urethra & Penis )

Question 1

Name the four parts of male urethra

Answer 1

Prosthetic urethra (most distensible)
membranes urethra (shortest part, least distensible)
bulbar urethra (MC Site for rupture)
Penile urethra (longest)

Question 2

What is the most common site for urethral trauma?

Answer 2

Bulbar urethra

Question 3

What is the most common congenital anomaly of urethra?

Answer 3

Hypospadias (urethra opening is ventrally placed)

Question 4

What is the most severe type of hypospodias?

Answer 4

Perineal (Proximal Hypospodias )

Question 5

At what age a surgery can be performed to correct hypospadias ?

Answer 5

6-12 months

Question 6

Principal steps for hypospodias

Answer 6

Orthoplasty
Urethroplasty
Glanuloplasty
Skin cover and scroto plasty

Question 7

Which surgery is done in Distal hypospodias?

Answer 7

Single stage surgery (mustardee mathieu/TIP)

Question 8

Which surgery is done in Mid hypospodias?

Answer 8

Single stage/double stage surgery (Snodgrass procedure)

Question 9

Which surgery is done in proximal hypospodias?

Answer 9

Two stage surgery (Thiersch duplay /Dennis-Brown repair )

Question 10

What is Epispadiasis?

Answer 10

The urethral opening is dorsally placed

Question 11

Most severe form of epispadiasis is ?

Answer 11

Ectopia Vesicae

Question 12

Which classification is used for posterior urethral valve ?

Answer 12

Young’s classification

Question 13

Diagnosis of Posterior urethral vale is made by

Answer 13

MCU (micturating cystourethrogram)
Key Hole defect is seen

Question 14

Which sign is seen in proximal urethral Trauma. ?

Answer 14

Vermooten sign

Question 15

Which sign is seen in trauma to distal urethra ?

Answer 15

Butterfly Hematoma (involving penis and scrotum )

Question 16

Diagnosis in urethral trauma is made by ?

Answer 16

RGU

Question 17

Which procedure is done in long and complete stricture ?

Answer 17

Barbagli Urethroplasty (buccal mucosa graft is most commonly used to bridge the gap )

Question 18

Eggplant deformity (hematoma) seen in

Answer 18

Fracture of shaft penis

Question 19

Circumcision in phimosis is done at Which age?

Answer 19

> 6 years of age

Question 20

Infection of glans or prepuce known as

Answer 20

Balanoposthisis

Question 21

Incision during circumcision is made at

Answer 21

Dorsally (due to presence of frenular vessels )

Question 22

What is paraphimosis

Answer 22

Foreskin forms a constriction ring around penis

Question 23

Recently how do surgeons treat phimosis?

Answer 23

Plastibell / Gono clamp / Stapples

Question 24

If conservative management (apple jeely ) fails in paraphimosis what should do ?

Answer 24

Dorsal Slit procedure

Question 25

What is Peyronie’s disease

Answer 25

Deposition of calcified plaque in corpora cavernosa

Question 26

Which procedure is done if madical management (CCB) fails or in long standing case of peyronie’s disease ?

Answer 26

Nesbit procedure

Question 27

What is priaprism

Answer 27

Prolong erection of penis >4 hours If erection last >6 hours : Ischemia / necrosis

Question 28

Medical management for priaprism is?

Answer 28

Sedation and inject Adrenaline /PhenylEphrine into corpora

Question 29

What if medical management fails in priaprism? Describe 4 shunts

Answer 29

Gray Hack shunt (corporo saphenous) Winter / Al- ghorab shunt (corporo glanular shunt) Quackel /Sacher shunt ( corpora spongiosal shunt) Barry shunt (corpora dorsal vein shunt)

Question 30

Which staging is use in penile cancer

Answer 30

Jackson Staging

Question 31

MCC of death following Penile cancer

Answer 31

Erosion of femoral \ illiac vessels

Question 32

MIMP prognostic factor in penile cancer

Answer 32

Inguinal lymph node status

Question 33

what is Fowler syndrome ?

Answer 33

Seen in ladies with PCOS abnormal myotonic discharge of striated, urethral sphincter

Question 34

What is the most distensible part of urethra ?

Answer 34

Prostatic urethra

Question 35

What is the least distensible part of the urethra

Answer 35

Membranous urethra

Question 36

What is chordee ?

Answer 36

Downward bending of the penis

Question 37

MCC of hypospodias

Answer 37

Urethrocutaneous Fistula

Question 38

What is the mechanism of injury of distal urethra ?

Answer 38

Straddle injury

Question 39

IOC for PUV is

Answer 39

MCUG

Question 40

In hypospadias ____ chordee is seen while in Epispadias ____chordee seen

Answer 40

1. Ventral 2. Dorsal

Question 41

MCC OF ERECTILE DYSFUNCTION

Answer 41

Stress

Question 42

Premalignant lesion of the squamous cell carcinoma includes

Answer 42

Bowen disease Erythroplasia of Queyrat BXO Leukoplakia

Question 43

In penile carcinoma total amputation of penis is done if the stump is …

Answer 43

>2 cm