What is false regarding the etiology and treatment of orchialgia syndrome?
small indirect inguinal hernia may irritate the genital branch of genitofemoral nerve causing orchialgia
might respond to a selective nerve block
the recommended treatment is orchiectomy with implantation of a testicular prosthesis
psychotherapy and stress management might alleviate the pain
Correct Answer :
C. the recommended treatment is orchiectomy with implantation of a testicular prosthesis
the surgical option is not at a recommendation level.
Related Questions
What is the most common serotype of HPV associated with squamous cell carcinoma of the penis?
16
18
22
12
Under which surgical wound classification, does diagnostic cystoscopy under sterile technique fit?
dirty - infected
contaminated
clean - contaminated
clean
What is false concerning post UTI renal scarring in pediatrics?
the incidence of scarring following a single episode of febrile UTI is 4.5%
intra-renal reflux is common in convex papillae
scarring and chronic pyelonephritis lead to hypertension in 10-20%
scarring is best detected and followed up by DMSA
What are the most commonly affected organs by genitourinary tuberculosis?
kidneys, prostate and epididymi
bladder, ureters and renal pelvis
vasa, scrotum and adrenals
testes, bladder neck and seminal vesicles
HIV infection increases the incidence of the following cancers, EXCEPT:
Kaposi sarcoma,
Hodgkin lymphoma
non-Hodgkin lymphoma
cervical cancer
What is the commonest cause of relapsing UTI in males?
chronic epididymitis
epididymo-orchitis
chronic bacterial prostatitis
venereal cysto-urethritis
The relative risk of prostate cancer in men with HIV compared to uninfected individuals is:
greater than 8 fold
greater than 6 fold
greater than 4 fold
comparable
What is false concerning urinary catheter-associated UTI (CAUTI)?
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
What is true regarding contrast CT imaging for a renal abscess?
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
What is false concerning corpora amylacea of the prostate?
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
The virulence of uropathogenic E.coli depends on all the following,
EXCEPT:
P blood-group antigen
P fimbriae in descending infections
emolysins
Dr family of adhesins in ascending infections
Patients with bladder pain syndrome have:
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
A 44 yrs. male presents with recurrent left pyelonephritis and Proteus infection. His kidney is dilated and contains a stone. A renal biopsy showed foamy macrophages with neutrophils and cellular debris. What is the treatment?
PCNL after treating the infection
cystoscopy and placing a retrograde ureteral stent followed by ESWL
perc. nephrostomy and placing antegrade ureteral stent
nephrectomy
Which of the following factors increases the risk of UTI due to promotion of microbial colonization?
neurogenic bladder
the use of spermicide
urinary catheterization
fecal incontinence
What is false concerning emphysematous cystitis?
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
Which of the following has NO role in bacterial colonization in the prostate?
intra-prostatic ductal reflux
paraphimosis
specific blood groups
unprotected anal intercourse
What factor(s) increase(s) the risk of bacterial colonization in the prostate?
acute epididymitis
indwelling urethral catheters
transurethral surgery
all of the above
What is the most important pharmacokinetic property of a drug to cure UTI?
mode of administration
level in the serum
level in the urine
dosage
What is true concerning the definition of UTI in women, based on culture results from a suprapubic aspirate of urine?
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
What is true regarding acute pyelonephritis?
a cause of obstruction should be sought
PCN is placed to decompress the kidney and preserve renal function
blood-born staphylococci are commoner than ascending E.coli infections
blood and urine cultures must dictate the antibiotic choice from day 1
What are the sequelae of recurrent uncomplicated UTI in young women?
minimal
chronic persistent infections
chronic relapsing infections
bouts of chronic pyelonephritis
What is false regarding prostatic abscesses?
clinically, cannot be differentiated from acute bacterial prostatitis
medical management is often unsuccessful
it harbors prostate cancer in approximately 4.3% of cases
management include suprapubic urinary diversion
Directed physiotherapy could be of value in treating what NIH type of prostatitis?
type II
type III-a
type III-b
type IV
What is true concerning the treatment of catheter associated bacteriuria?
should be flushed frequently, but no antibiotic is advised
should be treated if febrile UTI has developed
should be treated only if urine culture is positive
should be treated once the catheter is removed
Which of the following factors increases the risk of UTI due to facilitation of microbial ascent?
sexual activity
the use of spermicide
estrogen depletion
fecal incontinence
What is NOT a complication of mumps orchitis?
infertility
hypogonadotropic hypogonadism
non seminomatous germ cell tumor
chronic orchalgia
In males, HIV infection increases the incidence of the following genitourinary tumors:
testicular
renal
penile
all of the above
What is false concerning radiation cystitis?
the average time from the beginning of radiation therapy to initial symptoms could be 2 4 weeks
treatment with stationary radiation, portals carry a higher risk of morbidity than treatment with rotating portals do
it occurs in about 10% of patients treated with definitive irradiation therapy for prostate cancer after 10 years
most cases are mildly affected and require no specific therapy
What is false concerning peri-renal abscess?
could result from intra-renal abscess of ascending infection
urine culture might be negative
plain KUB X-ray has no value in the diagnosis
surgical drainage is the proper treatment
What is the most virulent factor for bacterial adherence?
P blood group
fimbria
pili
hemolysin