Week 7 - Genitourinary Surgery Flashcards
Arteriovenous fistula (AV shunt)
surgically created vascular access for pts undergoing hemodialysis
Calculi
stones caused by the precipitation of mineral from urine or kidney filtrate
Epispadias
opening of urethra is on dorsum of the penis
Extracorporeal shock wave lithotripsy (ESWL)
ultrasonic sound waves are used to pulverize kidney or gallbladder stones
Foley catheter
retention catheter with expandable balloon at distal end
Glomerular filtration rate (GFR)
indication of kidney function in which serum creatine is measured
Indwelling catheter
urethural or ureteral catheter that is left in place
Intravasation
absorption of irrigation fluids into vascular system
Meatotomy
small incision is made in the urethral meatus to relieve a stricture
Nonelectrolytic
nonconductive
Percutaneous
“through the skin”
Reflux
flow of body fluid in the direction opposite its normal path
Resectoscope
cutting instrument used to remove and coagulate tissue piece by piece
Retrograde pyelography
imaging studies of the renal pelvis in which contrast medium is instilled through a transurethral catheter
Specific gravity
ratio of the density of a fluid compared to water
Staghorn stone
large, jagged kidney stone that forms in the renal pelvis
Stent
supportive catheter that is placed in a duct or tube to allow fluids to pass through while the duct heals
Straight catheter
urinary catheter used for one-tome drainage of the bladder
Suprapubic catheter
bladder catheter inserted through skin in the suprapubic area of the abdomen
Tamponade
instrument hat puts pressure on tissue (usually to stop bleeding)
Torsion
twisting of an organ or a structure on itself
Transurethral
surgical access through the urethral orifice
Adrenal glands
paired organs that lie on the medial side of the upper kidney
Epididymis
convoluted duct that secrets seminal fluid
Vas deferns
joins the epididymis with the ejaculatory duct
Seminal vesicles
paired structures situated close to the ejaculatory duct at the proximal end
Prostate gland
surrounds the urethra and secretes alkaline fluid that contributes to seminal fluid
Bulbourethral glands
Cowper glands; paired structures that are just below the prostate on each side of the urethra
Intravenous urography
radiographic studies using a contrast medium; injected intravenously to obtain serial radiographs of the renal pelvis and calyces
KUB: Kidney, ureters, and bladder
radiograph of the kidney, ureters, and bladder
Cystoscopy
endoscopy of the urinary bladder via the urethra
Urethral dilation and urethrotomy
urethra dilated to relieve a stricture, small incision made in the internal urethra to release scar tissue or other stricture
TURP (transurethral resection of the prostate)
prostate is removed with a resectoscope inserted through the urethra
TURB (transurethral resection of the bladder)
bladder is removed with a resectoscope inserted through the urethra
Circumcision
removal of the prepuce
Penectomy
partial or complete amputation of the penis for the tx of cancer of the glans penis
Insertion of a penile implant
surgically placed to treat impotence caused by organic ds
Hypospadias repair
sx to correct defect in the opening of the penis
Varicocelectomy
sx tx of varicocele by excision of the affected veins often with removal of part of the scrotum
Hydrocelectomy
removal of a hydrocele
Orchiectomy
sx removal of one or both testicles
Vasectomy
elective sterilization by removing a section of the vas deferns and sealing the free ends
Vasovasostomy
anastomosis of the vas deferns to restore continuity after vasectomy
Cystectomy
total or partial removal of the bladder
Ileal conduit
system of urinary drainage created by using small intestine after removing bladder
Vesicourethral-suspension (Marshall-Marchetti-Krantz procedure)
suspension of the bladder neck and urethra to the cartilage of the pubic symphysis to treat urinary stress incontinence in females
Suprapubic prostatectomy
prostate removed through a suprapubic incision
Retropubic prostatecotmy
prostate removed through a lower midline incision
Simple nephrectomy
removal of one kidney
Radical nephrectomy
kidney and lymphnodes are removed
Adrenalectomy
removal of one or both adrenal glands
