intra-prostatic ductal reflux
paraphimosis
specific blood groups
unprotected anal intercourse
B. paraphimosis
inflammatory bowel disease
rheumatoid arthritis
systemic lupus erythematosus
fibromyalgia
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
von Hippel-Lindau disease
tuberous sclerosis
cystic fibrosis
autosomal dominant polycystic kidney disease
AIDS patients in active infection show low CD4 + T-cell count
the diagnosis is confirmed by positive anti-HIV-1, anti-HIV-2 antibodies
patients receiving antiviral therapy could still be infectious
herpes simplex virus increases HIV replication in infected persons
commonly presents with scrotal pain, swelling, fever, and leucocytosis
epididymo-orchitis is the most frequent genitourinary complication of brucellosis
epididymo-orchitis occurs in 10-15% of male patients with brucellosis
treatment includes doxycycline and rifampicin for 6-8 weeks
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
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
1 2.7%
5 9%
10 27%
30 47%
It is an endophytic tumor of the transitional urothelium
harbors p53 gene mutations
presents with hematuria, dysuria, and irritative voiding
the lesion requires transurethral resection
sexual activity
the use of spermicide
estrogen depletion
fecal incontinence
type II
type III-a
type III-b
type IV
rifampicin
doxycycline
azithromycin
none of the above
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
selective nerve block
balloon dilation
botulinum A toxin injection
ESWL
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
produces yellow whitish, scanty, frothy urethral discharge
shows gram (+), extracellular diplococcic
infection could be contracted from the spouses eyes
responds fairly to azithromycin
acute epididymitis
indwelling urethral catheters
transurethral surgery
all of the above
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
is most commonly associated with Proteus or E. coli infection
is characterized by lipid-laden foamy macrophages
the overall prognosis is poor
it might involve adjacent structures or organs
mode of administration
level in the serum
level in the urine
dosage
kidneys, prostate and epididymi
bladder, ureters and renal pelvis
vasa, scrotum and adrenals
testes, bladder neck and seminal vesicles
trimethoprim- sulfamethoxazole
fluoroquinolones
aminoglycosides
nitrofurantoins
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 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
giant staghorn stone
perivesical abscess with fistula to the bladder
bacterial resistance
self-inflicted infection
bladder neck suspension surgery
chronic constipation
poor genital hygiene
contraceptive diaphragm
in the elderly
in long-term catheterized patient
in pregnancy
none of the above
testicular
renal
penile
all of the above
kidneys
bladder
prostate
epididymis
43%
53%
63%
73%