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Urology > Bladder Disorders > Flashcards

Flashcards in Bladder Disorders Deck (21)
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1

Patient presents with urinary frequency, burning sensations w/urination, hematuria, strong smelling urine, and feeling of discomfort in lower abdomen. What does this patient most likely have?

cystitis

2

Bladder pain of variable severity lasting over a protracted period of time

interstitial cystitis

3

Cells that play a central role in interstitial cystitis that damage urotheial lining

mast cells (histamine)

4

Only medical treatment available for interstitial cystitis

Pentosan polysulfate sodium

5

Requires work up especially in the older or smoking patient where it may suggest bladder cancer or renal disease

hematuria

6

Why does bladder cancer present in patients with h/o includes repeated UTIs, kidney stones, chronic urinary retention requiring catheter.

Chronic inflammation of the bladder increases the risk of bladder cancer

7

Other factors besides smoking and recurrent infections that increase risk of bladder cancer

exposure to arsenic, irradiation, aromatic hydrocarbons

8

Helps lower risk of bladder cancer

increased fluid intake

9

Most common type of bladder cancer

transitional cell carcinoma

10

Most common presenting symptom or sign for bladder cancer

hematuria

11

What type of hematuria does bladder cancer typically present with?

microscopic

12

Most important method for the initial work-up of bladder cancer

cystoscopy with biopsy

13

Treatment of superficial lesions of bladder cancer (T0, T1S, T1, low grade T2)

endocscopic resection and fulguration w/cystoscopy. Repeat every three months

14

used prophylactically to prevent new lesions and delay or prevent development of both metastasis and muscle invading tumors, and therapeutically to eradicate an existing lesion

Intravesical Therapy with BCG

15

can be used for patients whose tumors are not amenable to transurethral resection of bladder tumor

partial cystectomy

16

Treatment for muscle invasive tumors (T2, T3, and T4)

Radical cystectomy with urinary diversion

17

Percentage of patients with high grade invasive disease who are cured?

50%

18

no longer shown to be of benefit and is no longer used routinely is reserved for frail, elderly pts or those unfit for other approaches to pallliate local symptoms

pre-op radiation

19

are generally insensitive to chemotherapy and should NOT be considered for neoadjuvant bladder-sparing approach

non-urothelial (transitional) histology bladder cancer

20

5 yr survival rate for metastatic bladder disease

15%

21

Performed every year in patient who had been diagnosed with bladder cancer

CXR and CT of abdomen and pelvis