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49 Cards in this Set
- Front
- Back
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treatment for CBP
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fluoroquinolone for 4 weeks (levaquin and cipro)…if you use something else, triple the duration of treatment (septra)
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most common prostatitis, and cause is unknown
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chronic nonbacterial prostatitis
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lab results for chronic nonbacterial prostatits
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leukocytes on prostatic secretions, but all cultures are negative
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treatment for CNBP
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erythromycin, FQ or Septra, NSAIDS, sitz baths
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prostate/pelvic symptoms without inflammation or infection affecting younger men…related to dysfunctional boiding and pelvic floor musculature dysfunction
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prostadynia
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treatment for prostadynia
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alpha-blockers, sitz baths, urodynamic testing, biofeedback or diazepam
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fever, scrotal swelling, prostate tender, prehn's sign
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acute epididymitis
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treatment for acute epididymitis
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ceftriaxone and doxycycline if GC/chlamydia is the cause; cipro or levaquin may be used for coliforms
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predisposing factors for testicular torsion
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cryptoorchidism, bell clapper deformity
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what do you do if you suspect testicular torsion
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contact duty urologist, order doppler ultra sound
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what does epididymitis look like on doppler ultrasound
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increased blood flow on affected side
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hypospadias may be associated with
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infertility…especially when proximal to glans
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foreskin cannot be retracted behind the glans
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phimosis
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if patient has phimosis, what may develop under the foreskin?
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SCC
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how do you treat phimosis
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if infected, treat with antibiotic; circumcision
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the foreskin has been left retracted behind the glans, resulting in painful engorgement and edema of glans
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paraphimosis
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painful curvature of erect penis
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peyronie's disease
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fibrous plaque of tunica albuginea, resulting in painful curvature of erect penis
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peyronie's disease
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only proven treatment option for peyronie's disease
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surgery…however 50% resolve on their own in 1-2 years
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masses arising from within the __________ are usually malignant; those from the _______ and _______ structures are usually benign
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testes; epididymis and spermatic cord
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collection of peritoneal fluid between the two layers of tunica vaginalis
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hydrocele
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varicocels are usually on the
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left…l spermatic vein empties into l renal vein and then into IVC…
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2-5 cm cycstic accumulation of sperm that arises from the head of the epididymis; nontender; if large, pt c/o heaviness
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spermatocele
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more common first year of life
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hydrocele
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how long does spermatogenosis take
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2.5 months
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Azoospermic patients and those with low volume levels should have _________levels checked
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fructose
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only approved lubricant in the case of infertility
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conceivEase
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presence of <20 million sperm/ml in ejaculate
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oligospermia
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viral orchits…
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most likely to lead to infertility…compared to bacterial
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test comes back low ejaculate volume
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do post ejaculate UA…looking for retrograde ejaculation
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what is used to dx fistula and bladder neck descent problem
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cystograms
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used to evaluate bladder capacity, accommodation, sensation, voluntary control, contractility, and response to pharmacologic intervention
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cystometry
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adequate PVR
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<50 ml
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treatment options for stress incontinence
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surgery, kegel exercises…in post-menopausal pt, consider topical estrogen cream
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treatment options for urge incontinence
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antispasmotics…vesicare, enablex, ditropan, detrol…TCA--tofranil..
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associated with detrusor hyperreflexia or sphincteric dysfunction
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urge incontinence
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list some causes of overflow incontinence
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BPH, urethral strictures, neurogenic (external sphincter spasticity)
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most common urinary stone
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calcium oxalate
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"""infection stones""
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struvite stones…
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These stones are radiolucent
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uric acid stones
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patient c/o being awakened from sleep due to severe flank pain….N&V present….cant seem to get comfortable…gross hematuria
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suspect obstructing stones
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if the stone becomes lodged at the ____________ junction, patients will c/o marked urinary urgency and frequency
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ureterovesical junction
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will you see a uric acid stone of xray
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no…they are radiolucent
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gold standard for detecting stones
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non-contrast CT
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for patients taking HIV protease inhibitor, ie Indinavir, what do you do if you suspect stones
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contrast CT…if not contraindicated
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treatment of choice in 75% of stones cases requiring intervention
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lithotripsy
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which types of stones have acidic pH
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uric acid and cystine
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what stones are radiolucent
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uric acid
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treatment for stone less than 5 cm
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NSAIDs, alpha blocker, hydration
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