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58 Cards in this Set

  • Front
  • Back
benign prostatic hyperplasia (BPH
noncancerous enlargement or hypertrophy of the prostate. BPH is the most common pathologic condition in older men and the second most common cause of surgical intervention in men older than 60 years of age.
Bowen's disease
form of squamous cell carcinoma in situ of the penile shaft
cryosurgery of the prostate
localized treatment of the prostate by application of freezing temperatures
penile cancer
represents about 0.5% of malignancies in men in the United States; can involve the glans, the body of the penis, the urethra, and regional or distant lymph nodes
prostate cancer
the most common cancer in men; risk factors include increasing age, African American race, and possibly a high-fat diet; the genetic association of prostate cancer and the increased incidence within certain families are being investigated
prostate gland
gland that lies just below the neck of the bladder, surrounds the urethra, and is traversed by the ejaculatory duct, a continuation of the vas deferens; produces a secretion that is chemically and physiologically suitable to the needs of the spermatozoa in their passage from the testes
prostate-specific antigen (PSA
substance that is produced by the prostate gland and measured in a blood specimen; PSA levels are increased with prostate cancer; the PSA test is used in combination with digital rectal examination to detect prostate cancer
prostatism
obstructive and irritative symptom complex that includes increased frequency and hesitancy in starting urination, a decrease in the volume and force of the urinary stream, acute urinary retention, and recurrent urinary tract infections
prostatitis
inflammation of the prostate gland caused by infectious agents (bacteria, fungi, mycoplasma) or various other problems (eg, urethral stricture, prostatic hyperplasia
testicular cancer
the most common cancer in men 15 to 35 years of age and the second most common malignancy in those 35 to 39 years of age; its cause is unknown
transurethral resection of the prostate (TUR or TURP)
resection of the prostate through endoscopy; the surgical and optical instrument is introduced directly through the urethra to the prostate, and the gland is then removed in small chips with an electrical cutting loop
aldosterone
hormone synthesized and released by the adrenal cortex; causes the kidneys to reabsorb sodium
antidiuretic hormone (ADH)
hormone secreted by the posterior pituitary gland; causes the kidneys to reabsorb more water; also called vasopressin
anuria
total urine output less than 50 mL in 24
bacteriuria
bacteria in the urine; bacterial count higher than 100,000 colonies/mL
creatinine
endogenous waste product of muscle energy metabolism
frequency
voiding more frequently than every 3 h
glomerulus
tuft of capillaries forming part of the nephron through which filtration occurs
glomerular filtration rate (GFR)
volume of plasma filtered at the glomerulus into the kidney tubules each minute; normal rate is approximately 120 mL/min
oliguria
total urine output less than 400 mL in 24 h
pyuria
white blood cells in the urine
renal clearance
volume of plasma that the kidneys can clear of a specific solute (eg, creatinine); expressed in milliliters per minute
specific gravity
reflects the weight of particles dissolved in the urine; expression of the degree of concentration of the urine
tubular reabsorption
movement of a substance from the kidney tubule into the blood in the peritubular capillaries or vasa recta
tubular secretion
movement of a substance from the blood in the peritubular capillaries or vasa recta into the kidney tubule
urea nitrogen
nitrogenous end product of protein metabolism
cystectomy
removal of the urinary bladder
cystitis
inflammation of the urinary bladder
functional incontinence
physical impairments make it difficult or impossible for the patient to reach the toilet in time for voiding
iatrogenic incontinence
the involuntary loss of urine due to extrinsic medical factors, predominantly medications
ileal conduit
transplantation of the ureters to an isolated section of the terminal ileum, with one end of the ureters brought to the abdominal wall
interstitial cystitis
inflammation of the bladder wall that eventually causes disintegration of the lining and loss of bladder elasticity
neurogenic bladder
bladder dysfunction that results from a disorder or dysfunction of the nervous system; may result in either urinary retention or bladder overactivity, resulting in urinary urgency and urge incontinence
Spastic is most common (lesion spinal cord)
overflow incontinence
involuntary urine loss associated with overdistention of the bladder due to mechanical or anatomic bladder outlet obstruction
pyelonephritis
inflammation of the renal pelvis
reflex incontinence
involuntary loss of urine due to hyperreflexia or involuntary urethral relaxation in the absence of normal sensations; usually associated with micturition (voiding)
stress incontinence
involuntary loss of urine through an intact urethra as a result of a sudden increase in intra-abdominal pressure
suprapubic catheter
a urinary catheter that is inserted through a suprapubic incision into the bladder
urge incontinence
involuntary loss of urine associated with urinary urgency due to hypersensory disorders of the bladder, motor instability, or both
ureterosigmoidostomy
transplantation of the ureters into the sigmoid colon, allowing urine to flow through the colon and out the rectum
ureterovesical or vesicoureteral reflux
backward flow of urine from the bladder into one or both ureters
urosepsis
sepsis resulting from infected urine, most often a UTI
Bladder ca risk factors
Smoking
Exp to carcinogens
Recurrant UTIS
Bladder stone
High Cholestoral
CA from prostate, colon rectum
Chromnis urinary retention req cath
Baldder cancer
Diagnosis
Cytoscopy is GOLD standard
Bladder Cancer
Most Common Type
Transitional cell then sqamous cell
Bladder Cancer Stages
Tis: cancer in situ
Ta: non invasive papillary ca
T1: invasion of subepithelial tissue
T2: Invasion of Muscle Layer
T#: Invasion of perivesical tissue
T4: Invasion of nearby tissues
Prostate Cancer
Risk Factors
Age
RAce
Fm History
Diet(sat fat)
Penile Cancer
Staging
Stage 1: Ca has only effected the glans and or foreskin
Stage 2: Ca has spread o the shaft
Stage 3: Ca has affected penis and lymph nodes
Stage 4: Ca has moved beyond the groin to other body parts
Recurrant: Ca has returned after treatment
Bladder Capacity
300-500 mL
Kidneys
Function
Remove liq waste from the blood (urine)
Keep stable balance of salts and other substances in the blood
Produce erythropoietin, a hormone that aids the formation of refd blood cells.
Most reliable indicator of kidney function
creatinine levels
Causes and tx of transient incontinence (DIAPPERS)
Delirium
Infection of urinary tract
Atrophic vaginitis, urethritis
Pharmacologic agents (anticholinergics, sedatives, alcohol, analgesics, diuretics, muscle relaxants, adrenergic agents)
Psychological factors (depression, regression)
Excessive urine production (increased intake, diabetes insipidus, diabetic ketoacidosis)
Restricted activity
Stool impaction
Types of Calculi
Calcium
increase in ca in diet
Types of Calculi
Uric Acid
foods high in purine(shellfish,anchovies, asparagus, mushrooms and organ meats)
Urnie formation
Steps
1. Glomular filtration
2. Tubular reabsorption
3. Tubular Secretion
Glomular filtration
Glomeruli filter blood as it follos through the kidneys; creating filtrate
Tubular reabsorption
The movement of substances from the filtrate into plasma
Tubular Secretion
The movement of substances from plasma into renal tubesules to be excreted