Priapism

Q) What is the cause of priapism in a patient with trauma

a) Penile rupture

b) Dorsal vein of penis thrombosis

c) Spinal cord injury

d) Sickle cell anemia

Answer 

Most common cause of priapism is sickle cell anemia, but in the setting of trauma....

Read on  Q 86

Fowler Stephen Surgery

Q) Fowler Stephen Surgery is done for 

a) Epispadias

b) Hypospadias

c) Exstrophy of bladder

d) Cryptorchidism

Answer Free for all 

d) Cryptorchidism

 

Cryptorchidism - Fowler stephens surgery means division of short testicular vessels to mobilise the testis

The testicular blood supply is then dependent on collaterals from the vasal artery.

Surgeries for Epispadias are - 

Exstrophy 

1. MSRE- Modern stage repair of Exstrophy includes bladder closure, pelvic osteotomies followed by epispadis repair and uretheroplasty at 12-18 months

 Young-Dees-Leadbetter repair- Bladder neck reconstruction for exstrophy

 Kelly repair (RSTM) Radical soft tissue mobilization

2.  Complete primary repair for classic bladder exstrophy (CPRE) 

 

 

 

Ureteral injuries

Q) A 24 year old male suffers low velocity gun shot wound in lower abdomen. On exploration there is a 1 cm segment loss of left ureter above the pelvic brim. Best management is :

a) Ureterocystostomy

b) Uretero ureterostomy

c) Ureterostomy

d) Ligation of ureter 

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Rupture of Urinary Bladder

Q) Rupture of Urinary Bladder : False statement is 

a) Associated with perineal hematoma

b) Emergency laparotomy is required in most cases

c) Investigation of choice is IVP

d) Blunt urinary bladder trauma is associated with pelvic fractures

Answer c

Both b and c are wrong but the question was like this only.

Rupture of urinary bladder is mostly extraperitoneal (80%) but can also be intraperitoneal (20%). Intra peritoneal rupture is usually when injury occurs in a full distended bladder. Haematuria may or may not be present.

Perineal injuries may be seen in most cases

Associated uretheral injury may be common.

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