Renal - Urology Flashcards

1
Q

Definition - Varicocele

A

Abnormal dilatation of spermatic veins

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2
Q

Presentation - Varicocele

A

Asymptomatic
Scrotal mass

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3
Q

Diagnosis - Varicocele

A

Clinical
Doppler USS if uncertain

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4
Q

Referral - Varicocele

A

Urgent 2 week wait referral to urology if concerned about malignancy = symptoms not diminishing on lying down OR right sided varicocele

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5
Q

Management - Varicocele

A

Reassurance and observation
Surgery in some cases

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6
Q

Complications - Varicocele

A

Infertility
Testicular atrophy

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7
Q

Commonly Affected Area - Varicocele

A

Left testicle

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8
Q

Definition - Incontinence

A

Unintentional passage of urine

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9
Q

Diagnosis - Incontinence

A

Bladder diary
Examination
Urinalysis
Urodynamic studies

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10
Q

Conservative Management - Incontinence

A

Pelvic floor exercises
Lifestyle modifications e.g. weight loss, smoking cessation, fluid intake changes

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11
Q

Medical Management - Incontinence

A

Stress = duloxetine
Urge = oxybutynin or mirabegron

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12
Q

Surgical Management Options - Incontinence

A

Bulking injections
Retropubic suspension

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13
Q

Definition - Stress Incontinence

A

Incontinence on effort or exertion

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14
Q

Definition - Urge Incontinence

A

Incontinence accompanied by or immediately preceded by urgency

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15
Q

Definition - Testicular Torsion

A

Twisting of the testis around their arterial supply

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16
Q

Risk Factors - Testicular Torsion

A

Age <25
Athletic
Trauma
Bell Clapper Deformity

17
Q

Presentation - Testicular Torsion

A

PAIN - abdominal, testicular
High, transverse testicle
Loss of cremasteric reflex
N+V

18
Q

Diagnosis - Testicular Torsion

A

Clinical + USS

19
Q

Management - Testicular Torsion

A

Surgical exploration + orchidopexy of both testicles

20
Q

Complications - Testicular Torsion

A

Loss of testicles
Infertility