Comp CCs: Urology

Comprehensive core conditions for urology.

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Last updated: January 19, 2025

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Hint	Answer
Cystectomy is used to manage bladder cancer which is ____ invasive	muscle
Testicular cancer can cause ____ pain	abdominal
Testicular torsion presents with ____-onset scrotal pain	sudden
Which test is performed in a pt with suspected acute urinary retention?	Bladder scan
What is the surgical management of bladder cancer (if non-muscle invasive, i.e. T1)?	TURBT (transurethral removal of bladder tumour)
Which relevant clinical sign is negative in a pt with testicular torsion?	Prehn's
Prostate cancer can cause bone pain, true or false?	True
The surgical management of testicular cancer includes inguinal exploration and ___	orchidectomy
The ___ score is used to grade prostate cancer	Gleason
Prostate cancer usually arises in the ____ zone of the prostate, and thus the mass is palpable during a digital rectal examination	peripheral
Is chronic urinary retention painful or non-painful?	Non-painful
What is the surgical management for benign prostatic enlargement?	TURP (transurethral resection of the prostate)
In a pt with acute urinary retention, an ultrasound scan of the renal tract may show ____	hydronephrosis
What is the tumour marker for prostate cancer?	PSA
Pts with benign prostatic hyperplasia may be treated with alpha ____ inhibitors e.g. dutasteride	reductase

Hint	Answer
A common sign of testicular cancer is a painful lump, true or false?	False
If testicular torsion is diagnosed and detorsion is performed, a bilateral _____ is also performed to prevent recurrence	orchidopexy
What is the most common cause of acute urinary retention?	Benign prostatic enlargement
The ____ (acronym) score is used to grade the severity of symptoms in benign prostatic hyperplasia	IPSS
Benign prostatic enlargement may cause interrupted urine flow which starts and stops. This is called ____	intermittency
Is the tumour marker AFP more specific to seminomatous or non-seminomatous testicular cancer?	Non-seminomatous
Blood tests/tumour markers for testicular cancer include ___, LDH and AFP	hCG (human chorionic gonadotropin)
95% of testicular cancers arise from ___ cells	germ
A bladder scan is abnormal if more than ___ml of urine is present in the bladder	500
Which tumour marker may be raised in benign prostatic enlargement?	PSA
A pt with acute urinary retention >1000ml may have post-obstructive ____ (complication) after treatment and must be monitored for this	diuresis
Diagnosis of bladder cancer is made on ____ (investigation) and biopsy	(blue light) cystoscopy
What is the first-line imaging investigation for suspected testicular cancer?	Bilateral testis ultrasound
Blood tests/tumour markers for testicular cancer include hCG, LDH and ___	AFP (alpha feto-protein)
What is the surgical management for prostate cancer?	Prostatectomy