Deck 20: Genitourinary Surgery

Question 1

An undescended testicle is called a(n)________ , and a twisted spermatic cord is called a(n)________. Both are repaired by a(n) procedure.

Answer 1

cryptorchidism, torsion, orchiopexy

Question 2

The most common reason for a circumcision later in life is due to a condition called ________whereby the foreskin will not retract. A device used for this procedure includes straight hemostats and a(n)________bell.

Answer 2

Phimosis, Gomco or Plastibell

Question 3

A(n) ________occurs when the urethra opens in the vagina for a female or the underside or ventrum of the penis for a male.

Answer 3

hypospadias

Question 4

To repair the hydrocelectomy, the ________is everted and secured behind the testicle to prevent recurrence.

Question 5

Key anatomy of the bladder includes the floor of the bladder between the three openings of the ureters and the urethra, called the ________area of the bladder; the ________muscle of the bladder; and the superior and inferior arteries that supply the bladder.

Question 6

Match the description.

-Van Buren

A) Kidney clamp for nephrectomy pedicles at the hilum
B) Working element
C) Extends arteriotomy or venotomy incision
D) Urethral dilator
E) Blunt insertion device for sheath
F) Dilator used for dilating corpora; stop 1 mm larger than size of implant
G) Rib approximator or rib contractor
H) Electrosurgical unit electrode (insulated)
I) Used to elevate the anterior surface of periosteum from rib
J) Removal tissue or blood clots from bladder
K) Used to examine prostate during procedure
L) Short bridge for rigid cystoscopy to introduce additional instruments and catheters
M) Used for a meatotomy or urethrotomy
N) Dye requires use of Wood's lamp
O) Used with local anesthetic

Question 7

Match the description.

-Bugbee

A) Kidney clamp for nephrectomy pedicles at the hilum
B) Working element
C) Extends arteriotomy or venotomy incision
D) Urethral dilator
E) Blunt insertion device for sheath
F) Dilator used for dilating corpora; stop 1 mm larger than size of implant
G) Rib approximator or rib contractor
H) Electrosurgical unit electrode (insulated)
I) Used to elevate the anterior surface of periosteum from rib
J) Removal tissue or blood clots from bladder
K) Used to examine prostate during procedure
L) Short bridge for rigid cystoscopy to introduce additional instruments and catheters
M) Used for a meatotomy or urethrotomy
N) Dye requires use of Wood's lamp
O) Used with local anesthetic

Question 8

Match the description.

-O'Connor

A) Kidney clamp for nephrectomy pedicles at the hilum
B) Working element
C) Extends arteriotomy or venotomy incision
D) Urethral dilator
E) Blunt insertion device for sheath
F) Dilator used for dilating corpora; stop 1 mm larger than size of implant
G) Rib approximator or rib contractor
H) Electrosurgical unit electrode (insulated)
I) Used to elevate the anterior surface of periosteum from rib
J) Removal tissue or blood clots from bladder
K) Used to examine prostate during procedure
L) Short bridge for rigid cystoscopy to introduce additional instruments and catheters
M) Used for a meatotomy or urethrotomy
N) Dye requires use of Wood's lamp
O) Used with local anesthetic

Question 9

Match the description.

-Fluorescein

A) Kidney clamp for nephrectomy pedicles at the hilum
B) Working element
C) Extends arteriotomy or venotomy incision
D) Urethral dilator
E) Blunt insertion device for sheath
F) Dilator used for dilating corpora; stop 1 mm larger than size of implant
G) Rib approximator or rib contractor
H) Electrosurgical unit electrode (insulated)
I) Used to elevate the anterior surface of periosteum from rib
J) Removal tissue or blood clots from bladder
K) Used to examine prostate during procedure
L) Short bridge for rigid cystoscopy to introduce additional instruments and catheters
M) Used for a meatotomy or urethrotomy
N) Dye requires use of Wood's lamp
O) Used with local anesthetic

Question 10

Match the description.

-Pedicle or Satinsky clamp

A) Kidney clamp for nephrectomy pedicles at the hilum
B) Working element
C) Extends arteriotomy or venotomy incision
D) Urethral dilator
E) Blunt insertion device for sheath
F) Dilator used for dilating corpora; stop 1 mm larger than size of implant
G) Rib approximator or rib contractor
H) Electrosurgical unit electrode (insulated)
I) Used to elevate the anterior surface of periosteum from rib
J) Removal tissue or blood clots from bladder
K) Used to examine prostate during procedure
L) Short bridge for rigid cystoscopy to introduce additional instruments and catheters
M) Used for a meatotomy or urethrotomy
N) Dye requires use of Wood's lamp
O) Used with local anesthetic

Question 11

Match the description.

-Penis clamp (Stockman/ Zisper)

A) Kidney clamp for nephrectomy pedicles at the hilum
B) Working element
C) Extends arteriotomy or venotomy incision
D) Urethral dilator
E) Blunt insertion device for sheath
F) Dilator used for dilating corpora; stop 1 mm larger than size of implant
G) Rib approximator or rib contractor
H) Electrosurgical unit electrode (insulated)
I) Used to elevate the anterior surface of periosteum from rib
J) Removal tissue or blood clots from bladder
K) Used to examine prostate during procedure
L) Short bridge for rigid cystoscopy to introduce additional instruments and catheters
M) Used for a meatotomy or urethrotomy
N) Dye requires use of Wood's lamp
O) Used with local anesthetic

Question 12

Match the description.

-Resectoscopes

A) Kidney clamp for nephrectomy pedicles at the hilum
B) Working element
C) Extends arteriotomy or venotomy incision
D) Urethral dilator
E) Blunt insertion device for sheath
F) Dilator used for dilating corpora; stop 1 mm larger than size of implant
G) Rib approximator or rib contractor
H) Electrosurgical unit electrode (insulated)
I) Used to elevate the anterior surface of periosteum from rib
J) Removal tissue or blood clots from bladder
K) Used to examine prostate during procedure
L) Short bridge for rigid cystoscopy to introduce additional instruments and catheters
M) Used for a meatotomy or urethrotomy
N) Dye requires use of Wood's lamp
O) Used with local anesthetic

Question 13

Match the description.

-Obturator

A) Kidney clamp for nephrectomy pedicles at the hilum
B) Working element
C) Extends arteriotomy or venotomy incision
D) Urethral dilator
E) Blunt insertion device for sheath
F) Dilator used for dilating corpora; stop 1 mm larger than size of implant
G) Rib approximator or rib contractor
H) Electrosurgical unit electrode (insulated)
I) Used to elevate the anterior surface of periosteum from rib
J) Removal tissue or blood clots from bladder
K) Used to examine prostate during procedure
L) Short bridge for rigid cystoscopy to introduce additional instruments and catheters
M) Used for a meatotomy or urethrotomy
N) Dye requires use of Wood's lamp
O) Used with local anesthetic

Question 14

Match the description.

-Ellik evacuator

A) Kidney clamp for nephrectomy pedicles at the hilum
B) Working element
C) Extends arteriotomy or venotomy incision
D) Urethral dilator
E) Blunt insertion device for sheath
F) Dilator used for dilating corpora; stop 1 mm larger than size of implant
G) Rib approximator or rib contractor
H) Electrosurgical unit electrode (insulated)
I) Used to elevate the anterior surface of periosteum from rib
J) Removal tissue or blood clots from bladder
K) Used to examine prostate during procedure
L) Short bridge for rigid cystoscopy to introduce additional instruments and catheters
M) Used for a meatotomy or urethrotomy
N) Dye requires use of Wood's lamp
O) Used with local anesthetic

Question 15

Match the description.

-Urethrotome

A) Kidney clamp for nephrectomy pedicles at the hilum
B) Working element
C) Extends arteriotomy or venotomy incision
D) Urethral dilator
E) Blunt insertion device for sheath
F) Dilator used for dilating corpora; stop 1 mm larger than size of implant
G) Rib approximator or rib contractor
H) Electrosurgical unit electrode (insulated)
I) Used to elevate the anterior surface of periosteum from rib
J) Removal tissue or blood clots from bladder
K) Used to examine prostate during procedure
L) Short bridge for rigid cystoscopy to introduce additional instruments and catheters
M) Used for a meatotomy or urethrotomy
N) Dye requires use of Wood's lamp
O) Used with local anesthetic

Question 16

Match the description.

-Hegar

A) Kidney clamp for nephrectomy pedicles at the hilum
B) Working element
C) Extends arteriotomy or venotomy incision
D) Urethral dilator
E) Blunt insertion device for sheath
F) Dilator used for dilating corpora; stop 1 mm larger than size of implant
G) Rib approximator or rib contractor
H) Electrosurgical unit electrode (insulated)
I) Used to elevate the anterior surface of periosteum from rib
J) Removal tissue or blood clots from bladder
K) Used to examine prostate during procedure
L) Short bridge for rigid cystoscopy to introduce additional instruments and catheters
M) Used for a meatotomy or urethrotomy
N) Dye requires use of Wood's lamp
O) Used with local anesthetic

Question 17

Match the description.

-Alexander

A) Kidney clamp for nephrectomy pedicles at the hilum
B) Working element
C) Extends arteriotomy or venotomy incision
D) Urethral dilator
E) Blunt insertion device for sheath
F) Dilator used for dilating corpora; stop 1 mm larger than size of implant
G) Rib approximator or rib contractor
H) Electrosurgical unit electrode (insulated)
I) Used to elevate the anterior surface of periosteum from rib
J) Removal tissue or blood clots from bladder
K) Used to examine prostate during procedure
L) Short bridge for rigid cystoscopy to introduce additional instruments and catheters
M) Used for a meatotomy or urethrotomy
N) Dye requires use of Wood's lamp
O) Used with local anesthetic

Question 18

Match the description.

-Bailey

A) Kidney clamp for nephrectomy pedicles at the hilum
B) Working element
C) Extends arteriotomy or venotomy incision
D) Urethral dilator
E) Blunt insertion device for sheath
F) Dilator used for dilating corpora; stop 1 mm larger than size of implant
G) Rib approximator or rib contractor
H) Electrosurgical unit electrode (insulated)
I) Used to elevate the anterior surface of periosteum from rib
J) Removal tissue or blood clots from bladder
K) Used to examine prostate during procedure
L) Short bridge for rigid cystoscopy to introduce additional instruments and catheters
M) Used for a meatotomy or urethrotomy
N) Dye requires use of Wood's lamp
O) Used with local anesthetic

Question 19

Match the description.

-Potts Smith

A) Kidney clamp for nephrectomy pedicles at the hilum
B) Working element
C) Extends arteriotomy or venotomy incision
D) Urethral dilator
E) Blunt insertion device for sheath
F) Dilator used for dilating corpora; stop 1 mm larger than size of implant
G) Rib approximator or rib contractor
H) Electrosurgical unit electrode (insulated)
I) Used to elevate the anterior surface of periosteum from rib
J) Removal tissue or blood clots from bladder
K) Used to examine prostate during procedure
L) Short bridge for rigid cystoscopy to introduce additional instruments and catheters
M) Used for a meatotomy or urethrotomy
N) Dye requires use of Wood's lamp
O) Used with local anesthetic

Question 20

Match the description.

-Albarran

A) Kidney clamp for nephrectomy pedicles at the hilum
B) Working element
C) Extends arteriotomy or venotomy incision
D) Urethral dilator
E) Blunt insertion device for sheath
F) Dilator used for dilating corpora; stop 1 mm larger than size of implant
G) Rib approximator or rib contractor
H) Electrosurgical unit electrode (insulated)
I) Used to elevate the anterior surface of periosteum from rib
J) Removal tissue or blood clots from bladder
K) Used to examine prostate during procedure
L) Short bridge for rigid cystoscopy to introduce additional instruments and catheters
M) Used for a meatotomy or urethrotomy
N) Dye requires use of Wood's lamp
O) Used with local anesthetic

Question 21

Match the type of fluid with the use.

-TURBT

A) Instill Omnipaque
B) Irrigate with CUW or LR
C) Irrigate with Collins or Sachs solution
D) Water irrigation
E) Glycine or sorbitol irrigation

Question 22

Match the type of fluid with the use.

-TURP or with use of ESU

A) Instill Omnipaque
B) Irrigate with CUW or LR
C) Irrigate with Collins or Sachs solution
D) Water irrigation
E) Glycine or sorbitol irrigation

Question 23

Match the type of fluid with the use.

-RPG or retrograde urethrogram

A) Instill Omnipaque
B) Irrigate with CUW or LR
C) Irrigate with Collins or Sachs solution
D) Water irrigation
E) Glycine or sorbitol irrigation

Question 24

Match the type of fluid with the use.

-Cadaver donor kidney

A) Instill Omnipaque
B) Irrigate with CUW or LR
C) Irrigate with Collins or Sachs solution
D) Water irrigation
E) Glycine or sorbitol irrigation

Question 25

Match the type of fluid with the use.

-Living donor kidney

A) Instill Omnipaque
B) Irrigate with CUW or LR
C) Irrigate with Collins or Sachs solution
D) Water irrigation
E) Glycine or sorbitol irrigation

Question 26

Identify the types of surgical treatments for stress incontinence.

Question 27

What additional procedure must be done with a radical cystectomy?

Question 28

What is the wound classification of a cystoscopy?