once a catheter is placed, the daily incidence of bacteriuria is 3-10%
on long-term catheterization, over 90% of patients develop bacteriuria
the practice of using urinary catheters to control incontinence in bedridden patients should be discouraged
urine bags should be placed on the floor to enhance gravity drainage
D. urine bags should be placed on the floor to enhance gravity drainage
is a self-limiting infection where antibiotics are not required
is exclusively for UTI experienced by a girl after sexual intercourse on her wedding night
post-coital voiding has no value in the occurrence of the infection
self-initiated medication helps control the infection
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
giant staghorn stone
perivesical abscess with fistula to the bladder
bacterial resistance
self-inflicted infection
improperly drained hair follicle scrotal abscess
syphilitic orchitis
tuberculous epididymitis
all of the above
scrotal support and elevation
ice packs
non-steroidal anti-inflammatory agents
urethral catheterization
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
acute epididymitis
indwelling urethral catheters
transurethral surgery
all 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
pelvic inflammatory disease
lymphogranuloma venereum
infertility
all of the above
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
urethral infection with trichomonas vaginalis
bladder infection with adenovirus
Kawasakis disease
all of the above
aminoglycoside
fluoroquinolone
2nd generation cephalosporin
doxycycline
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
patients with indwelling catheters
neurogenic bladder patients on CIC
pregnant women
children under 5 years
tuberculous ulcer
malignant ulcer
gummatous ulcers
traumatic ulcer
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
kidneys and adrenals
bladder and ureters
prostate and vasa
testes and epididymi
45% are caused by E. coli
related to an indwelling urinary catheter in approximately 40% of cases
responds fairly to oral antibiotics
tends to report higher antibiotic resistance
allergic, type I hypersensitivity response
pelvic floor dysfunction
up-regulation of histaminergic and muscarinic neuro-receptors
neural hypersensitivity
manifests as recurrent renal colics due to ureteral obstruction
treatment is surgical mobilization of ureter and ligation of the vein
commonly, occurs at the left side
the pain worsens on sitting upright and during pregnancy
might rupture into the collecting system causing (hydatiduria)and renal colic
are formed by the eggs of the tapeworm Echinococcus granulosus
most cysts are asymptomatic but might manifest as flank mass, dull pain, or hematuria
the most reliable diagnostic test uses partially purified hydatid arc 5 antigens in a double-diffusion test
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
intra-prostatic ductal reflux
paraphimosis
specific blood groups
unprotected anal intercourse
aminopenicillins
fluoroquinolones
aminoglycosides
nitrofurantoins
infertility
hypogonadotropic hypogonadism
non seminomatous germ cell tumor
chronic orchalgia
dirty - infected
contaminated
clean - contaminated
clean
is a premalignant condition
it can be locally aggressive and invades surrounding structures causing bone erosions
kidneys are the most commonly affected organs
characterized by rounded intracellular inclusions (owls-eyes) in large esinophilic histocytes
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
seniors house residents
ICU patients with indwelling urinary catheters
pregnant women
neurogenic bladder patients on CIC
carry on the full antibiotic course, and then repeat CT
incision and drainage of the renal abscess with/without nephrectomy
the abscess size dictates management
perc. drainage of the renal abscess