Paediatric Urology Flashcards
What is an inguinal hernia?
protrusion of a viscus through the inguinal canal - get groin swelling
incidence of inguinal hernia
2% boys : 9:1
99% indirect
increased risk with prematurity
reducible hernia
can push back into original cavity
irreducible/ incarcerated hernia
unable to push back into original cavity
obstructed hernia
bowel contents unable to pass through hernia
strangulated hernia
blood supply of contents is occluded
management of inguinal hernia
Surgery
<1 year URGENT referral - repair
> 1 year elective referral and repair
management of incarcerated inguinal hernia
reduce and repair on same admission
What is hydrocele ?
SCROTAL swelling
like hernia but just the fluid gets through
hydrocele is very common in
newborns
symptoms of hydrocele
painless
increases with crying, straining , evening
management of hydrocele
conservative until 5 yrs of age - usually just gets better
What is Cryptorchidism
any testis that cannot be manipulated into the bottom half of the scrotum
crypto = hidden - orchid = Testis
true cryptorchidism
undescended
retractile cryptorchidism
can pull down - without any tension - when they go up like in the cold they go all the way up again
just leave this type
ectopic cryptorchidism
not in the right place
Ascending crytorchidism
down but down keep up with growth - gradually pulled up
incidence of cryptorchidism
increased risk in prematurity
absolute indications for circumcision
Blanitis Xerotica Obliterans (BXO)
Acute Scrotum means
testicular pain
differential diagnosis of acute scrotum
torsion testis, torsion appendix testis, epididymitis
how many hours do you have to recover the testis?
6-8
why investigate UTI?
prevent renal scarring
reflux nephropathy and chronic renal failure
prevent hypertension
who to investigate when they have a UTI
all <6/12, atypical, recurrent
