Urological emergancies Flashcards
(41 cards)
treatment of acute urinary retention
catheterisation
complication of acute urinary retention thats been treated
post obstructive diuresis (pee out too much)
investigation for someone with acute scrotal pain
ultrasound
most common cause of acute scrotal pain <30
testicular torsion
risk factor for testicular torsion
bellclapper deformity in tall young skinny boys
teenager wakes up in the middle of the night with excruciating scrotal pain
red and bruised
testicular torsion
systemically unwell baby
what do you always do
why
look under nappy for testicular torsion
excruciating scrotal pain
red and bruised scrotum
blue dot on inspection
torsion of appendage (mullerian duct remnants)
similar to testicular torsion just less severe
treatment of torsion of appendage in scrotum
nothing - will fall off itself
surgery if severe pain
who get epididymitis
> 16 y/o (not kids)
what does epididymitis present similar to
how do you tell the difference
testicular torsion
during surgery for testicular torsion (or on Doppler US)
may be a fever in epididymitis
aetiology of epididymitis
STI in young
UTI in old
idiopathic
investigations for epididymitis
Doppler US to tell difference from testicular torsion (increased blood flow)
urine culture/PCR
treatment of epididymitis
analgesia
antibiotics - ofloxacin
not surgery, though they usually end up with surgery bc of ?testicular torsion
presentation of idiopathic scrotal oedema
red groin
swollen/water filled testes
itchy
no tenderness, little pain (can come and go)
symptomatic treatment of idiopathic scrotal oedema
antihistamines
pain relief if necessary
cure of idiopathic scrotal oedema
NOT surgery, self limiting
what is paraphimosis
painful swelling of foreskin
why does paraphimosis happen
foreskin is retracted and not put back in place
treatment of paraphimosis
symptomatic - ice
surgery - dorsal slit, circumcision
painful swelling of foreskin
paraphimosis
prolonged erection >4hours not associated with sexual arousal
priapism
2 types of priapism
ischaemic
non ischaemic
investigation to determine the type of priapism
blood aspiration then ABGs
low O2 in ischaemic priapism
