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Surgery > UROLOGY(Urethra & Penis ) > Flashcards

UROLOGY(Urethra & Penis ) Flashcards

1
Q

Name the four parts of male urethra

A

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

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2
Q

What is the most common site for urethral trauma?

A

Bulbar urethra

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3
Q

What is the most common congenital anomaly of urethra?

A

Hypospadias (urethra opening is ventrally placed)

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4
Q

What is the most severe type of hypospodias?

A

Perineal (Proximal Hypospodias )

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5
Q

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

A

6-12 months

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6
Q

Principal steps for hypospodias

A

Orthoplasty
Urethroplasty
Glanuloplasty
Skin cover and scroto plasty

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7
Q

Which surgery is done in Distal hypospodias?

A

Single stage surgery (mustardee mathieu/TIP)

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8
Q

Which surgery is done in Mid hypospodias?

A

Single stage/double stage surgery (Snodgrass procedure)

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9
Q

Which surgery is done in proximal hypospodias?

A

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

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10
Q

What is Epispadiasis?

A

The urethral opening is dorsally placed

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11
Q

Most severe form of epispadiasis is ?

A

Ectopia Vesicae

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12
Q

Which classification is used for posterior urethral valve ?

A

Young’s classification

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13
Q

Diagnosis of Posterior urethral vale is made by

A

MCU (micturating cystourethrogram)
Key Hole defect is seen

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14
Q

Which sign is seen in proximal urethral Trauma. ?

A

Vermooten sign

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15
Q

Which sign is seen in trauma to distal urethra ?

A

Butterfly Hematoma (involving penis and scrotum )

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16
Q

Diagnosis in urethral trauma is made by ?

A

RGU

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17
Q

Which procedure is done in long and complete stricture ?

A

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

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18
Q

Eggplant deformity (hematoma) seen in

A

Fracture of shaft penis

19
Q

Circumcision in phimosis is done at Which age?

A

> 6 years of age

20
Q

Infection of glans or prepuce known as

A

Balanoposthisis

21
Q

Incision during circumcision is made at

A

Dorsally (due to presence of frenular vessels )

22
Q

What is paraphimosis

A

Foreskin forms a constriction ring around penis

23
Q

Recently how do surgeons treat phimosis?

A

Plastibell / Gono clamp / Stapples

24
Q

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

A

Dorsal Slit procedure

25
Q

What is Peyronie’s disease

A

Deposition of calcified plaque in corpora cavernosa

26
Q

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

A

Nesbit procedure

27
Q

What is priaprism

A

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

28
Q

Medical management for priaprism is?

A

Sedation and inject Adrenaline /PhenylEphrine into corpora

29
Q

What if medical management fails in priaprism? Describe 4 shunts

A

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

30
Q

Which staging is use in penile cancer

A

Jackson Staging

31
Q

MCC of death following Penile cancer

A

Erosion of femoral \ illiac vessels

32
Q

MIMP prognostic factor in penile cancer

A

Inguinal lymph node status

33
Q

what is Fowler syndrome ?

A

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

34
Q

What is the most distensible part of urethra ?

A

Prostatic urethra

35
Q

What is the least distensible part of the urethra

A

Membranous urethra

36
Q

What is chordee ?

A

Downward bending of the penis

37
Q

MCC of hypospodias

A

Urethrocutaneous Fistula

38
Q

What is the mechanism of injury of distal urethra ?

A

Straddle injury

39
Q

IOC for PUV is

A

MCUG

40
Q

In hypospadias ____ chordee is seen while in Epispadias ____chordee seen

A
  1. Ventral
  2. Dorsal
41
Q

MCC OF ERECTILE DYSFUNCTION

A

Stress

42
Q

Premalignant lesion of the squamous cell carcinoma includes

A

Bowen disease
Erythroplasia of Queyrat
BXO
Leukoplakia

43
Q

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

A

> 2 cm

Surgery (30 decks)

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