neurogenic bladder
the use of spermicide
urinary catheterization
fecal incontinence
B. the use of spermicide
viral load assay
western blot analysis
southern blot analysis
HIV-1/HIV-2 serology assay
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
it is a constant or intermittent pain of testes for more than 3 months
could be due to appendix testis torsion-detorsion
could be due to radiculitis resulting from a degenerative lesion in the thoraco-lumber vertebrae
could be a result of entrapment neuropathy of ilioinguinal or genitofemoral nerve
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
type II
type III-a
type III-b
type IV
intra-prostatic ductal reflux
paraphimosis
specific blood groups
unprotected anal intercourse
5%
10%
15%
20%
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
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
43%
53%
63%
73%
N. gonorrhea and C. trachomatis
E. coli and Pseudomonas species
Mycoplasma genitalium and Ureaplasma species
Trichomonas vaginalis and Gardnerella vaginalis
produces yellow whitish, scanty, frothy urethral discharge
shows gram (+), extracellular diplococcic
infection could be contracted from the spouses eyes
responds fairly to azithromycin
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
taking urine samples by draining the urine bag
daily cleansing the external meatus
placing the urine bag on the floor
changing the urine bag once it is full
minimal
chronic persistent infections
chronic relapsing infections
bouts of chronic pyelonephritis
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
allergic, type I hypersensitivity response
pelvic floor dysfunction
up-regulation of histaminergic and muscarinic neuro-receptors
neural hypersensitivity
results from ectopic nephrogenic blastema cells in the detrusor muscle
might undergo malignant transformation in 15 40% of the cases
on cystoscopy, it appears as a bladder mucosal irregularity or large intramural mass
the preferred treatment is cystectomy and urinary diversion
a new episode of UTI caused by different species or occurring at long intervals
recurrent UTIs caused by the same organism in each instance, classically, at close intervals
recurrent UTIs due to failure of medical therapy to eradicate the infection
recurrent UTIs due to a persistent pathology that is obstinate to surgery
von Hippel-Lindau disease
tuberous sclerosis
cystic fibrosis
autosomal dominant polycystic kidney disease
beaded vas deferens
testicular micrilithiasis
testicular atrophy
epididymal granuloma
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
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
drug resistance
non-compliance
the presence of persistent pathology
all of the above
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
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
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
fever and chills
suprapubic pain and pyuria
flank pain and tenderness
none of the above
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
neurogenic bladder
the use of spermicide
urinary catheterization
fecal incontinence