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ST genitourinary srg
ch 23 Fullers genitourinary surgery
| Question | Answer |
|---|---|
| What does internal genitourinary surgery encompass? | kidney, adrenal glands, bladder, prostate, urethra,and accessory structures of these organs |
| What are the 3 basic approaches to the GU system? | transurethral, laparoscopic, and open transabdominal |
| Closed urinary procedures are performed through what? | cytoscopy |
| if the focal point of the surgery is exposed through an incision, it is called an__? | open procedure |
| Kidneys are paired organs that lie behind the parietal peritoneum at what levels? | 12th thoracic vertebra and 3rd lumbar vertebra. |
| in adults, each kidney weighs about 150 grams and is how long? | 11 cm |
| what are the 3 separate tissue layers that protect the kidney and hold it in place? | renal fascia, perirenal fat, & capsule. |
| What is the notched area of the kidney where the renal artery, vein, ureter, and renal pelvis enter the kidney? | hilum |
| what does the renal pelvis branch into? | calyces |
| the inner structure of the kidney consists of ? | cortex, medulla, renal pyramids, calyces, and nephrons. |
| Where are the adrenal glands located? | on the medial side of the upper kidneys, posterior to the stomach and pancreas. |
| what are the 2 layers of the adrenal glands? | the outer cortex and the inner medulla. |
| The adrenal glands secrete steriods and hormones, and are important to the porduction of what 2 chemicals? | norepinephrine and epinephrine |
| what is the proximal collection area for filtered urine from the kidney and is continuous with the ureter? | renal pelvis |
| each ureter is about 30 cm long and about how big in diameter? | 5 mm |
| After a prostatectomy, a catheter with a 30ml balloon is used as a _____? | tamponade |
| Whenever an ESU is used, irrigation fluid must be____? | nonelectrolytic |
| What may be used during observation of the bladder and retrograde pyelography | sterile distilled water |
| before a cystoscopy, the urethra is dialated with _____? | Van Buren sounds |
| What would the specimen be after performing a TURP? | prostate |
| What suture would be appropriate in an adult circumcision? | Chromic |
| (T or F) Urethral mneatoplasty can be performed on males or females. | True |
| What is the name of the condition in which the urethra is shortened, causing the penis to bow inward toward the body? | Chordee |
| Chordee is always associated with what? | hypospadias |
| Repair of epispadias depends upon the severity of the defect and may occur in what? | stages |
| Complete epispadias deformity is always associated with ____because there is little or no bladder neck. | incontinence |
| What is the most severe form of epispadias? | bladderexstrophy |
| Before what age is an orchidopexy performed? | school age |
| An undescended testicle can become sterile as a result of ______ temperature in the abdominal cavity. | increased |
| For a bilateral orchidopexy, the 3 incisions made are bilateral inguinal and _______? | unilateral scrotum |
| Why is varicocelectomy performed? | to improve spermatogenisis |
| Phemosis can be caused by irritation of the foreskin or accumulation of smegma, but NOT by what? | edema |
| After removing a hydrocelectomy, the ST should have ______ ready. | suction |
| Removal of 1 teste is treatment for torsion, infection, or testicular carcinoma, but NOT to treat_______. | inflammation |
| Bilateral orchiectomy is performed to control what? | metatastic carcinoma of the prostate |
| During orchiectomy, what structures are cross-clamped and divided? | the spermatic veins and artery |
| What dressings are used for an orchiectomy? | 4x4's |
| A malfunction of the erectile system of the penis is most often caused by neurological disease, diabetes, vascular disease with atherosclerosis, or ___________? | hypertension |
| Incisional repair of the external meatus of the urethra is called ______ | urethral meatotomy |
| What type of solution will NOT cause cell lysis? | hypotonic |
| Penile implants are NOT used to _______of the penis. | increase the size |
| What procedure is used to remove large impacted calculi from the renal pelvis? | pyelolithotomy |
| What procedure is used to repair tissue damage to the renal pelvis? | pyeloplasty |
| What diagnostic tools are used to locate the position of renal calculi? | retrograde pyelography and cystoscopy |
| stones in the renal pelvis can be extremely painful and cause ______ whith their sharp surfaces. | tissue trauma |
| A nephrostomy tube may be placed in the _____ for drainage. | renal pelvis |
| What incision will give good kidney exposure? | transcostal |
| What poition is the pt placed in for a simple nephrectomy? | lateral with table break |
| Adrenalectomy has the potential for many postoperative _________ complications | metabolic |
| An adrenalectomy enters the _________ space | retroperitoneal |
| Causes of renal obstruction can be birth defects, malignancy, trauma, cystitis, stricture, stasis, and metabolic imbalances, but NOT _______. | renal failure |
| What would a transverse or longitudinal suprapubic incision be used for? | suprapubic prostatectomy |
| Suprapubic cystomy is the _________ of the bladder. | incision |
| Advantages of perineal prostatectomy include preservation of the bladder neck, improved urethrovescical anastomosis, easier control of bleeding, but NOT ease of closure of the space of | retzius |
| enucleate means: | en bloc |
| In the event of a urethral stricture, what kind of catherter is used? | suprapubic |
| Suspention of the bladder is used to treat urinary stress incontinence in ______? | females |
| vescicourethral suspension is NOT used to treat ___? | bedwetting |
| What is the term for twisting of the testes resulting in ischemia and necrosis? | torsion |
Created by:
BellaJerrent