kidneys and adrenals
bladder and ureters
prostate and vasa
testes and epididymi
B. bladder and ureters
an esinophilic immune reaction is generated in response to the eggs
chronic schistosomiasis can eventually result in small bladder and the development of cancers
schistosoma mansoni often causes urinary tract infections
could cause inflammatory polys and recurrent hematuria
condom catheters carry less risk of UTI if compared to urethral
suprapubic catheters carry less risk of UTI if compared to urethral
latex catheters carry less risk of UTI if compared to silicon
intermittent catheterization carry less risk of UTI if compared to indwelling catheters
is most commonly associated with Proteus or E. coli infection
is characterized by lipid-laden foamy macrophages
the overall prognosis is poor
it might involve adjacent structures or organs
in the elderly
in long-term catheterized patient
in pregnancy
none of the above
is defined as a polymicrobial chronic infection of the perineal, perianal, or genital areas
as the disease progresses, branches from the inferior epigastric, deep circumflex iliac, and external pudendal arteries get thrombosed
presents as a dark skinned-scrotum, subcutaneous crepitation, and foul smell
surgical debridement often spares the testes
1.7%
7%
17%
71%
vesicoureteral reflux
stenosis of the lower ureter
edematous ureteral wall causing deficient peristalsis
any of the above
should be distinguished from testicular torsion in the emergency setting
viral epididymitis is commoner in the elderly
chronic epididymitis might complicate BPH
chronic epididymitis might require epididymectomy
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
type I
type II
type III
type IV
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
phagocytes
CD4 T cells
B lymphocytes
natural killer cells
pH of vaginal secretions increases after menopause
estrogen deficiency manifests as trophic urethritis and atrophic vaginitis
topical conjugated estrogen replacement carries a significant risk of breast and endometrial cancers
manifestations might include obstructive symptoms and non-infectious cystitis
indwelling catheter insertion must be under sterile condition
systemic antibiotics help best in preventing bacteriuria
greater than 90% of nosocomial UTIs are related to urethral catheters
Intermittent catheterization carries the incidence of 1-3% of developing bacteriuria per insertion
the hallmark in the diagnosis is the cystoscopic findings
risk factors include transplant recipients
CT shows intramural and/or intraluminal gas in the bladder
requires surgical debridement and probably cystectomy
urethral infection with trichomonas vaginalis
bladder infection with adenovirus
Kawasakis disease
all of the above
seniors house residents
ICU patients with indwelling urinary catheters
pregnant women
neurogenic bladder patients on CIC
nitrofurantoin monohydrate/macrocrystals
trimethoprim-sulfamethoxazole
ampicillin
fosfomycin
sulfonamide for several months
TUR of the bladder lesion followed by proper staging
radical cystectomy and urinary diversion
intravesical installation of mitomycin without irradiation
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
categorizes CP-CPPS, IC, and painful bladder syndrome based on 5 etiological principles
meant to classify CP-CPPS and IC patients into 6 domains
helps establish a reliable diagnosis of CP/CPPS or IC
the diagnostic scores of UPOINT depend on cystoscopy, TRUS, urine analysis and culture of uncommon microbes
children
the elderly
men
women
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
sexual activity
the use of spermicide
estrogen depletion
fecal incontinence
kidneys, prostate and epididymi
bladder, ureters and renal pelvis
vasa, scrotum and adrenals
testes, bladder neck and seminal vesicles
asymptomatic bacteriuria
sterile pyouria
bacterial colonization
unresolved bacteriuria
could be a complication of chronic epididymitis and orchalgia
testicular torsion must be excluded
infected hair follicles and scrotal lacerations are predisposing factors
urethral discharge is not uncommon presentation
discomfort on placing urethral catheter and pain on bladder filling
difficulty in zeroing the pressure and diminished response to first cough
low filling pressure but high voiding pressure
uninhibited bladder contractions with a relative bladder hypotonia
ureteral obstruction
proteinuria
stone formation
renal scarring
type I could harbor prostate abscess
type II presents as intermittent urinary tract infections
type III-a presentation might include psychological complaints
between 10-15% of men with type IV, have pus cells in their semen but no symptoms