Urology Flashcards
Consideration for Haematuria
TMUFF
can be due to serious underlying cause
Aviation can worsen conditions eg urinary retention inflight which may become medical emergency
Haematuria.
Condition on aviation
Aviation on condition
condition on aviation
- incapacitation from underlying pathology
- acute pain
- acute urinary retention
aviation on condition
- vibration
- +Gz
- physical exercise
Information needed to do risk assessment on haematuria
repeat urinalysis
Urine MCS with red cell morphology
Glomerular red cells: eGFR< USS, CT KUB, protein excretion +/- renal biopsy
non glomerular red cell
- CT IVP, cystoscopy
Asymptomatic proteinuria considerations
TMUFF
red flag conditions myeloma and glomerular disease
Condition on aviation
- Incapacitation from underlaying pathology
- acute pain
- acute urinary retention
Aviation on condition
- Vibration
+Gz
- physical exercise
Renal calculi
condition on aviation
aviation on condition
condition on aviation
- incapacitation from acute renal colic
- acute pain, nausea, vomiting
- urinary urgency and frequency
aviation on condition
- vibration
- heat stress
- dehydration
- dietary limitations
what is needed for renal calculi to fly again
Collecting system clear of stones ID stone formers surgical stone clearance prevention strategies medication
TMUFF until stone free or 4-6 weeks
likely MECR unrestricted or as/with co-pilot for 60months
recurrent
BPH
condition on aviation
Aviation on condition
Condition on aviation
- risk of urinary retention
- distracting/disruptive symptoms
- sleep disturbance, fatigue
- long term risk of renal failure
Aviation on condition
- access to toilet facilities
- dehydration
Effect of BPH treatment on aviation - Alpha blocker
Hypotension palpitations tachycardia nasal congestion miosis
Aeromedical disposition of BPH
Military
TMUFF until adequately managed
UAMECR - return to unrestricted flying with regular specialist reports if adequately managed
CASA
Treated BPH - unrestricted flying after successful surgery or on approved meds
Prazosin - no flying or aero
Erectile dysfunction
condition on aviation
aviation on condition
Condition on aviation
- impact of underlying causes
- medication side effects
aviation on condition
- fatigue
- stress
Effect of treatment of Erectile dysfunction on aviation
Headache, migraine
hypotension
blue/green vision disturbance
myalgia
Aeromedical disposition for Erectile dysfunction
TMUFF 72 hrs after use of Viagra, levity
longer acting meds eg challis contraindicated
