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Vesicoureteral reflux means congenital or acquired loss of the anti-reflux function of the intravesical ureter; when urine accumulates or the detrusor contracts and intravesical pressure rises, urine flows back from the bladder into the ureter and even pe
泌尿外科Pyonephrosis, also called pus kidney, is a very severe pyogenic renal infection with widespread destruction forming a pus-filled sac and loss of function.
泌尿外科Ureteropelvic junction (UPJ) obstruction is a common obstructive cause of hydronephrosis; obstruction of the UPJ prevents pelvic urine from entering the ureter, impairing pelvic emptying and dilating the collecting system. Initially pelvic smooth muscle p
泌尿外科Varicocele is dilated pampiniform plexus; scrotal pain/infertility; surgical ligation/embolization.
男科Renal AVF is abnormal renal artery-to-vein shunt; embolize/surgery if HTN/hematuria/heart failure.
泌尿外科Renal aneurysm is focal dilation of renal artery; monitor, embolize/resect if large/ruptured/FMD-related.
泌尿外科Renal-artery stenosis causes renovascular HTN/ischemic nephropathy; ACEi/ARB, PTA/stenting, treat atherosclerosis/FMD.
泌尿外科Premature ejaculation is persistent ejaculation with minimal sexual stimulation before/shortly after penetration, causing distress; treat by behavioral techniques, SSRIs, topical anesthetics.
男科Adrenomedullary hyperfunction is excessive catecholamine secretion from pheochromocytoma/paraganglioma: paroxysmal hypertension, headache, sweating, palpitations; treat by surgery after alpha-blockade.
泌尿外科Adrenal tumors classified by nature (benign/malignant), function (non-functioning/functioning, e.g. hormone secretion causing hypertension), and site (cortical/medullary/stromal/metastatic). Surgically managed adrenal tumors are usually functioning or hig
泌尿外科Ureteral tumors are clinically rare. Rayer first described them in 1841; Albarran reported the first pre-operatively diagnosed primary ureteral tumor in 1902. By 1976 only 2,200 cases were in world literature; domestic reports totaled over 280 by August 1
泌尿外科Rare primary seminal vesicle malignancy; papillary adenocarcinoma/sarcoma. Adenocarcinoma >50y, sarcoma <50y. Secondary invasion from bladder in situ/prostate/rectum/lymphoma common. Presents hematospermia/intermittent hematuria/frequency/thick gelatinous
泌尿外科~30% of spermatic cord tumors: rhabdomyosarcoma (most common, highly malignant), malignant fibrous histiocytoma, liposarcoma, vas deferens papillary carcinoma, fibrosarcoma, leiomyosarcoma. Fibro/leiomyosarcoma lower-grade.
泌尿外科Trichomonal urethritis (urethral trichomoniasis) affects both sexes, more common in women. Women acquire T. vaginalis by swimming/bathing/sex; it inhabits the vagina, then causes urethritis, then infects men via sex. Besides urethritis it may cause cystit
泌尿外科Urogenital trichomoniasis is a protozoal infection of the GU tract by Trichomonas vaginalis, a common female genital disease. Men acquire it by sex or via contaminated underwear/articles; main sites are urethra and prostate. Renal trichomoniasis is pyelon
泌尿外科Penile TB accounts for 4% of genitourinary TB; lesions may occur on the penile skin, corpora cavernosa, or urethra. Bacilli may spread from urinary tract TB, via intercourse, or contact with contaminated clothing; hematogenous spread is debated.
泌尿外科Bladder TB is secondary to renal TB, occasionally spreading from prostatic TB, and often coexists with genitourinary TB. Early lesions are inflammatory edema, congestion, and ulcers; late bladder contracture develops. Ureteral orifice involvement causes s
泌尿外科Ureteral TB results from downward spread of bacilli from renal TB. It first invades the mucosa, then submucosa and muscularis, forming ulcers whose fibrous bases narrow or completely obliterate the lumen. It most often affects the vesicoureteral junction,
泌尿外科Diagnosis and treatment of kidney stones, prostate diseases, bladder diseases and male genitourinary diseases, performing minimally invasive lithotripsy, endoscopic surgery and other treatments.
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