is a common cause of elevated PSA level
might follow BCG treatment
is sequelae of untreated type III-b prostatitis
shows homogenous enhancement following Gd-DTPA on prostate MRI
B. might follow BCG treatment
beaded vas deferens
testicular micrilithiasis
testicular atrophy
epididymal granuloma
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
inflammatory bowel disease
rheumatoid arthritis
systemic lupus erythematosus
fibromyalgia
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
VB1 and VB3
prostatic secretions and the VB3
prostatic secretions and the VB2
prostatic secretions and the VB1
in pediatrics, adenovirus types 11 and 21 could result in hemorrhagic cystitis
immunosuppressed children are especially susceptible to Cytomegalovirus and Adenoviruses 7, 21, and 35
in pediatrics, acute viral cystitis might present as acute retention of urine
classically, treatment should be culture-specific
adherence of bacteria to vaginal cells
vaginal dryness
O serogroup
vaginal pH
inadequately treated UTI
renal papillary necrosis
acute emphysematous pyelonephritis
urinary tract tuberculosis
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
pain is dull aching in the scrotum, perineum, inner thighs, and lower abdomen
dysuria, frequency, and/or urgency
long-standing (> 6 weeks) history of scrotal pain, and tenderness
low grade fever, malaise, and urethral discharge
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
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
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
kidneys and adrenals
bladder and ureters
prostate and vasa
testes and epididymi
elevated body temperature
dropped blood pressure
elevated heart rate
reduced urine output
giggle incontinence
estrogen deficiency
cystitis glandularis
cystitis cystica
cleansing the urethral meatus with aseptic agent
careful aseptic insertion of the catheter
maintenance of a closed drainage system
maintaining a dependant drainage system
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
histocytes
T lymphocytes
mast cells
B lymphocytes
2
6
7
8
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
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
type I
type II
type III
type IV
cystitis glandularis
cystitis cystica
esinophilic cystitis
cystitis follicularis
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
sulfonamide for several months
TUR of the bladder lesion followed by proper staging
radical cystectomy and urinary diversion
intravesical installation of mitomycin without irradiation
fever and chills
suprapubic pain and pyuria
flank pain and tenderness
none of the above
tuberculous ulcer
malignant ulcer
gummatous ulcers
traumatic ulcer
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
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