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st 106
gentourinary surgery
79
Health Care
Professional
06/08/2009

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Term
albumin
Definition
any of numerous simple, heat-coagulable, water-soluble plasma proteins
Term
albuminuria
Definition
often symptomatic of kidney disease
Term
calculus
Definition
abnormal concentration of mineral salts found in hollow organs or ducts; also called stones
Term
calyx
Definition
cuplike cavity which is an extension of the renal pelvis
Term
dialysis
Definition
process of removing waste products from the blood of a patient in renal failure
Term
enucleate
Definition
to remove without cutting into
Term
fulguration
Definition
destruction of tissue by means of long, high-frequency electric sparks; burning not cutting
Term
Gerota's capsule
Definition
perirenal fascia which helps to hold the kidney in place
Term
glomerulus
Definition
tuft of capillaries at the point of origin of the nephron
Term
hematuria
Definition
blood in urine
Term
impotence
Definition
inability of the male to achieve erection
Term
lithotrite
Definition
cystoscopic accessory used to crush bladder calculi
Term
normotensive
Definition
normal blood pressure
Term
ptosis
Definition
drooping of organ or part
Term
renal disease
Definition
acute failure of the kidney to perform its essential function
Term
trigone
Definition
triangular space at the base of the bladder
Term
genoturinary surgery
Definition
branch of surgery that deals with male sex organs
Term
chordee
Definition
ventral curvature of the penis caused by fibrous bands extending from the hypospadiac urethral meatus
Term
cystitis
Definition
inflammation of the urinary bladder
Term
epispadias
Definition
congenital malformation in which the urethra terminates on the dorsum of the penis in the male or above the clitoris in the female
Term
glomerulonephritis
Definition
variety of nephritis characterized by inflmmation of the capillary loops in the glomeruli of the kidney
Term
hypernephroma
Definition
tumor of the kidney whose cells resemble those from the adrenal cortex
Term
hypospadias
Definition
development in the male in which the urethra opens on the ventral side of the penis
Term
nephritis
Definition
inflammation of the kidney; also called Bright's disease
Term
nephrosclerosis
Definition
hardening of the kidney associated with hypertension and disease of the renal arterioles
Term
nephrosis
Definition
disease of the kidneys in which there is malfunction of the kidney tissue without inflammation
Term
polycystic kidneys
Definition
congenital disease in which multiple cysts gradually destroy the tissue of both kidneys
Term
pyelitis
Definition
inflammation of the renal pelvis
Term
pyelonephritis
Definition
inflammation of the renal pelvis and kidney
Term
uremia
Definition
accumulation in the blood of substances ordinarily eliminated in the urine due to the inability of the kidneys to filter out waste because of damage by disease or trauma
Term
benign postatic hypertrophy (BPH)
Definition
nonmalignant enlargement of the prostate gland
Term
cryptorchism
Definition
failure of testicle(s) to descend into scrotum
Term
hydrocele
Definition
enlarged, fluid-filled sac within the scrotum
Term
nephrocele
Definition
Term
nephroptosis
Definition
downward displacement of a kidney
Term
paraphimosis
Definition
retraction of the prepuce which causes a painful swelling of the glans
Term
phimosis
Definition
condition in the uncircumcised male in which the prepuce will not retract from the glans
Term
pyelophlebitis
Definition
inflammation of the veins of the renal pelvis
Term
spermatocele
Definition
lobulated intrascrotal cystic mass attached to the upper pole of the epididymis which is usually caused by an obstruction of the tubular system that conveys the sperm
Term
testicular torsion
Definition
twisting of the testes
Term
urinary reflux
Definition
backflow of urine from the bladder to the ureters
Term
wilm's tumor
Definition
childhood malignant neoplasm of the kidney which presents a firm, painless mass whose enlargement may laterally distend the abdomen
Term
urinary incontinence
Definition
inability to retain urine
Term
blood creatinine
Definition
measures waste product of muscle metabolism which rises with kidney failure
Term
blood urea nitrogen (BUN)
Definition
measures waste product of protein metabolism
Term
cystogram
Definition
x-ray visualization of the bladder following instillation of contrast medium in the bladder via catheter
Term
cystometrogram
Definition
graphic representation of the bladder's response to pressure and its capacity for fluid
Term
cystoscopy
Definition
endoscopic examination of the lower urinary tract, including urethra, bladder, and ureteral orifices by means of the cystoscope
Term
intravenous pyelogram
Definition
x-ray visualization of the ureter and renal pelvis following intravenous injection of contrast medium
Term
KUB
Definition
flat-plate, abdominal x-ray visualization of the kidney, ureters and bladder
Term
retrograde pyelogram
Definition
x-ray visualization of the kidneys and ureters following injection of contrast medium via a ureteral catheter
Term
urinalysis
Definition
chemical testing of a urine specimen for sugar, protein, and/or blood
Term
coude catheter
Definition
angle-tipped catheter useful in curving around a partial obstruction such as an enlarged prostate gland or bladder neck
Term
Foley 3-way catheter
Definition
straight catheter with an inflatable baloon that has an outlet for urine and/or irrigating fluid, an inlet for air for inflating the balloon, and an inlet for inserting irrigating fluid
Term
multieyed catheter
Definition
catheter with several eyes that permit better drainage of urine that contains blood clots or calcareous debris
Term
Pezzer or Malecot
Definition
primarily used to drain the bladder suprapubically for poor-risk patients; held in place by mushroom-shaped or winged tips
Term
Robinson (plain) catheter
Definition
strait catheter with one eye used to empty the urinary bladder or obtain a true sample of bladder urine
Term
ureteral catheters
Definition
1. are smaller in diameter and longer in length than urethral catheters 2. are made of woven silk, woven nylon, or other plastic materials 3. most are radiopaque 4. are usually inserted by urologist through a cystoscope 5. are used to obtain a specimen directly from the renal pelvis, to splint the ureter, or to inject dye for retrograde ureter or renal pelvis x-ray studies 6. are available in various sizes and styles
Term
during cystoscopies...
Definition
Sorbitol-mannitol and 1.5% glycine are commonly used as irrigation (don't conduct electricity and not harmful if absorbed by the body)
Term
what ST duties are during cystoscopy
Definition
1. makes sure the dispersive (grounding) pad is properly placed 2. opens sterile supplies as needed 3. replaces irrigation bottles as they empty, and notes the number of bottles used 4. NEVER adjusts the flow and volume of the irrigating fluid to the bladder 5. receives any specimens from teh urologist and labels them 6. transfers soiled equipment to the workroom and carries out terminal sterilization or decontamination
Term
characteristics of resectoscope
Definition
1. used for resections of the bladder and of urethral and prostatic tissue 2. Nesbit, Stern McCarthy, Iglacius, bomrucker 3. consists of a telescope, cutting electrode, working element, sheath, and obturator 4. utilizes electric current generated by the electrosurgical unit to remove tissue piece by piece
Term
circumcision
Definition
excision of the foreskin of the glans penis
Term
hypospadias repair
Definition
correction of the congenital anomaly in which the urethra opens on the ventral surface of the penile shaft or on the perineum in the male, or in the female a correction of the opening of the urethra into the vagina
Term
urethral dilation and internal urethrotomy
Definition
gradual dilation and removal of a urethra stricture to provide adequate urinary drainage
Term
urethral meatotomy
Definition
incisional enlargement of the external urethral meatus to relieve stenosis or stricture
Term
urethroplasty
Definition
repair of a urethral stricture that fails to respond to intermittent dilation
Term
hydrocelectomy
Definition
excision of the tunica vaginalis of the testis to remove the fluid-filled sac
Term
orchiectomy
Definition
removal of a testis or testes
Term
orchiopexy
Definition
surgical transfer and suturing of an undescended testis into the scrotum
Term
radical lymphadenectomy
Definition
bilateral resection of retroperitoneal lymph nodes for treatment of testicular tumors
Term
spermatocelectomy
Definition
removal of spermatocele which is usually attached to the upper pole of the epididymus of the scrotum
Term
varicocelectomy
Definition
ligation and partial excision of dilated veins in the scrotum
Term
vasectomy
Definition
excision of a section of the vas deferens as a permanent method of sterilization or prior to a prostatectomy to prevent the spread of infection from the urethra to the epididymis
Term
vasovasostomy
Definition
microsurgical restoration of the continuity of the divided vas deferens
Term
Foley-Y pyeloureteroplasty
Definition
combined correction of a redundant renal pelvis with resection of a stenotic area of the ureter
Term
pyelostomy
Definition
incision into the renal pelvis for temporary or permanent diversion of urine
Term
litholapaxy
Definition
closed procedure in which stones are crushed
Term
adrenalectomy
Definition
the partial or total excision of one or both adrenal glands
Term
procedure for nephrectomy
Definition
1. pt is placed in the lateral position with affected side up, prepped, and draped 2. surgeon makes curved incision across the flank, and divides fascia and muscle tissue with dissecting scissors and cautery 3. surgeon places a self-retaining retractor in the wound
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