a history of repeated urologic and/or gynecologic procedures
10 fold higher incidence of childhood voiding problems
4 fold higher incidence of anxiety-depression syndrome
6 fold higher incidence of psychosomatic disorders
B. 10 fold higher incidence of childhood voiding problems
intra-prostatic ductal reflux
paraphimosis
specific blood groups
unprotected anal intercourse
AIDS patients in active infection show low CD4 + T-cell count
the diagnosis is confirmed by positive anti-HIV-1, anti-HIV-2 antibodies
patients receiving antiviral therapy could still be infectious
herpes simplex virus increases HIV replication in infected persons
kidneys, prostate and epididymi
bladder, ureters and renal pelvis
vasa, scrotum and adrenals
testes, bladder neck and seminal vesicles
are premalignant, and found in 1-6% of prostate biopsies
are small hyaline masses of unknown significance found in the prostate gland
they are degenerate cells or thickened secretions in the prostate ducts
might appear as prostate calcifications on X-ray KUB
is the commonest extra-pulmonary site of infection
bladder TB is secondary to renal TB, and usually begins at the ureteral orifices
in the kidneys, TB is typically bilateral, cortical, and adjacent to the glomeruli; they may remain dormant for ages
epididymal TB might occur by hematogenous or direct spread from the urinary tract
produces yellow whitish, scanty, frothy urethral discharge
shows gram (+), extracellular diplococcic
infection could be contracted from the spouses eyes
responds fairly to azithromycin
is best diagnosed by ascending urethrography
occurs mostly in diabetic and immunosuppressed patients
could be due to maceration injury, irritant dermatitis, or Candida
commonly presents with deep inguinal lymphadenopathy
acute bacterial prostatitis presenting with abscess formation
recurrent or refractory chronic bacterial prostatitis
asymptomatic prostatitis with pyuria resistant to common antimicrobials
curiously, chronic inflammatory prostatitis could respond to low-dose suppressive antibiotic
TUR ejaculatory duct
prolonged urethral catheterization
prostatic biopsy
vas ligation
early morning sample, after cleansing the perineum and meatus
by urethral catheterization under strict aseptic technique
a clean catch of midstream voided urine
by suprapubic aspiration, as urine is sterile
43%
53%
63%
73%
Kaposi sarcoma,
Hodgkin lymphoma
non-Hodgkin lymphoma
cervical cancer
advanced age
anatomical anomalies
poor drug compliance
smoking
characterized by neurovirulence
the incubation period of primary genital herpes is 2 3 weeks
HSV can be isolated in the urine
HSV-1 infection causes urethritis more often than HSV-2 does
tuberculous ulcer
malignant ulcer
gummatous ulcers
traumatic ulcer
type II
type III-a
type III-b
type IV
abscess appears as a low attenuation cystic cavity containing gas
renal parenchyma around the abscess cavity may show hypo enhancement in nephrogram phase
associated fascial and septal thickening are seen with obliteration of perinephric fat
all of the above
probably due to antibody/antigen reaction
has no diagnostic findings on cystoscopy
has no specific medical therapy
on histology, Von Brunn`s nests appear invaginating the urothelium into the lamina propria
the onset of symptoms is insidious
the lesion has no proven relation to bladder cancer
if left untreated, the bladder will turn small, contracted, with submucosal calcifications
a single positive urine culture refutes the diagnosis
dirty - infected
contaminated
clean - contaminated
clean
histocytes
T lymphocytes
mast cells
B lymphocytes
drug resistance
non-compliance
the presence of persistent pathology
all of the above
rarely, the urothelial cell nests show a central lumen lined by glandular epithelium
In some cases, it may form polypoid masses that mimic urothelial neoplasms
It might appear as multinodular exophytic mass seen on cystoscopy
cystitis cystica and cystitis glandularis frequently coexist in the same specimen
antibiotic therapy is recommended for affected individuals with documented trichomonal infection and sexual partners even if asymptomatic
empirical treatment for gonococcal urethritis should cover chlamydia trachomatis
consistent and proper usage of condoms is estimated to prevent HIV transmission by approximately 80 to 95%
vaccinations are available for the prevention of human papillomavirus, N. gonorrhea, chlamydia trachomatis
PCNL after treating the infection
cystoscopy and placing a retrograde ureteral stent followed by ESWL
perc. nephrostomy and placing antegrade ureteral stent
nephrectomy
any amount of uropathogen grown in culture indicates UTI
for cystitis, more than 1000 CFU/mL indicates UTI
for pyelonephritis, more than 10,000 CFU/mL indicates UTI
for asymptomatic bacteriuria, more than 100,000 CFU/mL indicates UTI
It is an endophytic tumor of the transitional urothelium
harbors p53 gene mutations
presents with hematuria, dysuria, and irritative voiding
the lesion requires transurethral resection
trimethoprim- sulfamethoxazole
fluoroquinolones
aminoglycosides
nitrofurantoins
improperly drained hair follicle scrotal abscess
syphilitic orchitis
tuberculous epididymitis
all of the above
sterile pyuria on 3 consecutive cultures
the presence of glomerulations and/or Hunner`s ulcer on endoscopy
pain and discomfort related to the bladder
urgency and frequency with no documented infection