giant staghorn stone
perivesical abscess with fistula to the bladder
bacterial resistance
self-inflicted infection
B. perivesical abscess with fistula to the bladder
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
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
cleansing the urethral meatus with aseptic agent
careful aseptic insertion of the catheter
maintenance of a closed drainage system
maintaining a dependant drainage system
bladder epithelial cells
type C nerve endings in the bladder
type A delta nerve endings in the bladder
the innermost longitudinal fibres of detrusor muscle
selective nerve block
balloon dilation
botulinum A toxin injection
ESWL
Hunner`s ulcers are multiple ulcerative patches surrounded by mucosal congestion on the dome or lateral walls
ulcers might get distorted after overdistention, because discrete areas of mucosal scarring rupture during the procedure
in non-ulcerative type, overdistention demonstrates glomerulations on the dome and lateral walls
overdistention results in mucosal tears and submucosal hemorrhage
uncontrolled DM
sexual activity with multiple partners
high vaginal receptivity to bacterial adherence
all of the above
bladder neck suspension surgery
chronic constipation
poor genital hygiene
contraceptive diaphragm
histocytes
T lymphocytes
mast cells
B lymphocytes
drug resistance
non-compliance
the presence of persistent pathology
all of the above
P blood group
fimbria
pili
hemolysin
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
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
16
18
22
12
manifested as a sudden onset of hematuria, proteinuria, oliguria, edema, hypertension, and RBC casts in the urine
post-streptococcus GN has an incubation period of 1-3 weeks with specific strains of group A beta-hemolytic streptococcus
the triad of sinusitis, pulmonary infiltrates, and nephritis, suggests Wegener granulomatosis
C3, C4, ESR and antistreptolysin O titer are increased
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
necrosis of the superficial and deep fascial planes
fibrinoid thrombosis of the nutrient arterioles
polymorphonuclear cell infiltration
all of the above
improperly drained hair follicle scrotal abscess
syphilitic orchitis
tuberculous epididymitis
all of the above
sulfonamide for several months
TUR of the bladder lesion followed by proper staging
radical cystectomy and urinary diversion
intravesical installation of mitomycin without irradiation
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
ureteral obstruction
proteinuria
stone formation
renal scarring
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
kidneys, prostate and epididymi
bladder, ureters and renal pelvis
vasa, scrotum and adrenals
testes, bladder neck and seminal vesicles
produces yellow whitish, scanty, frothy urethral discharge
shows gram (+), extracellular diplococcic
infection could be contracted from the spouses eyes
responds fairly to azithromycin
is an uncommon granulomatous disease that affect the skin and/or urinary bladder
it might be due to a disturbed function of B lymphocytes
characterized by the presence of basophilic inclusion structure (Michaelis-Gutmann body)
it might be due to a defective phagolysosomal activity of monocytes or macrophages
seniors house residents
ICU patients with indwelling urinary catheters
pregnant women
neurogenic bladder patients on CIC
testicular
renal
penile
all of the above
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
1 2.7%
5 9%
10 27%
30 47%
asymptomatic bacteriuria
sterile pyouria
bacterial colonization
unresolved bacteriuria