Suggestions for Managing Urologic Conditions in Your Patients and Indications for Urologic Referral
Dr. Neil Baum* in conjunction with:
Dr. Alex Weinstein (Santa Barbara, CA)
And
Dr. Joe Kuntz (San Luis Obispo, CA)
The Kidney
The Bladder
The Prostate
Urethral Disorders
The Penis
The Testicles and Scrotum
Miscellaneous Topics
THE KIDNEY
RENAL MASSES
- need to distinguish solid vs cystic
- if simple cyst by US or CT, no further w/u necessary;
simple cysts are benign and rarely of clinical significance.
- if solid or indeterminate by US, need CT
- solid masses are almost always malignant; complex cysts may be malignant, therefore these patients require referral to a urologist.
RENAL PAIN
- usually secondary to acute obstruction/distension e.g. due to stone, pyelonephritis,
hemorrhage
- need to distinguish from musculo-skeletal pain-latter usually affected by body
position or movement
- urinanalysis may be helpful as a microscopic hematuria, pyuria, or a positive dipstik test may increase your suspicion of urinary tract obstruction. However, a negative UA does not entirely rule out urinary tract obstruction.
- if unsure, obtain imaging study (IVP or US)-if normal or demonstrates non-acute
process not renal pain and does not require referral to urologist
- all pts suspected of having a stone require radiologic imaging: IVP is best study;
if contraindicated obtain renal ultrasound and KUB
- many stones will pass spontaneously and therefore don't necessarily require
urologic consultation/intervention
GUIDELINES:
Follow-up with Medicine
- <6-7mm ureteral stone - pt should be given oral analgesics, urine strainer and
told to push PO fluids; he should then be followed with serial KUBs at 2-4 wk
intervals; if stone passes or shows signs of progress down ureter, can continue
to follow for 1-2 months as long as patients pain is manageable and not accompanied by UTI. Refer to a urologist if these criteria are not met.
- If stone passes, send for stone analysis. These pts do not require
referral to a urologist. Advise them to increase water intake for future stone
prophylaxis.
- Metabolic workup - first-time stone formers do not require any metabolic evaluation. Recurrent stone formers may benefit from metabolic w/u. Pt should be stone-free for 4-6 wks prior to initiating evaluation. The evaluation should include: serum electrolytes, BUN, Creatinine, Ca, P, uric acid and 24-hr urine for Na, creatinine, calcium, uric acid, citrate, oxalate, phosphorous, and magnesium. Follow up of these studies should be either with patient's primary care physician or a nephrologist.
- Radiolucent stones are most often uric acid stones which are amenable to
dissolution therapy by alkalinizing the urine. Treatment options: Polycitra or
Urocit K; need to monitor urine pH and keep pH >7.0 ; follow progress with
serial renal ultrasound and\or intravenous pyelograms. (If stones are large i.e. > 1.0- 1.5 cm will usually take too long to dissolve and these patients should be referred to a urologist).
Indications for Referral a Urologist
- Large stones in kidney or ureter unlikely to pass spontaneously (>6-7mm).
- Smaller stones in ureter that have not passed over a period of 1-2 months, or
sooner if causing recurrent bouts of colic requiring repeated trips to ER
- Stones in pregnant women
- Obstructive stones accompanied by infection (obstructive pyelonephritis) these pts
require prompt urologic intervention
Indications for Hospital Admission
- Vomiting with inability to tolerate oral fluids
- Pain uncontrolled by oral analgesics
- Obstructing stone accompanied by infection requires prompt urologic intervention
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THE BLADDER
BACTERIAL CYSTITIS IN FEMALES
- very common in females especially in early adulthood and post-menopausal years; in many women, correlate with sexual activity
- symptoms: frequency, urgency, dysuria, +/- hematuria
- usually not associated with fever or signs of systemic toxicity; if these are present, pyelonephritis is more likely
- Treatment:
- Isolated or occasional cystitis can be treated empirically based on symptoms and a positive urinanalysis
- Best first-line drugs:
Septra DS BID x 3-7 Days
Macrobid 100mg BID x 3-7 Days
- If patient fails to improve on empiric treatment, need to discontinue drug, obtain a urine culture and sensitivity several days later to determine sensitivity specific treatment.
- If pt has more than 2 UTIs/yr., obtaining a urine culture prior to empiric treatment is important. This not only guides appropriate treatment but also documents true infection and, therefore, earmarks those patients who are candidates for prophylactic treatment and selects out those patients with irritable bladder syndromes, such as interstitial cystitis.
- Prophylactic Regimens: recommended for patients with >3-4 culture-proven UTI/year with common gram negative organisms. After treating acute infection, begin low-dose prophylactic antibiotics.
- If, after 4-6 months of successful prophylaxis, infections thereafter promptly recur, obtain IVP. If IVP is normal, resume prophylaxis for another 6 months, or for as long as necessary to keep infection rate at <2-3 UTI/year.
- Pyridium, 100mg TID or Pyridium Plus, 200mg TID may be used for symptomatic relief awaiting response to antibiotics. It does not however replace antibiotics.
REFER TO UROLOGY
Patients with documented recurrent UTI despite prophylaxis
Patients with significant abnormalities on IVP
Patients with recurrent UTI with less common organisms (e.g. Proteus,
Kliebsella, Pseudomonas); obtain IVP prior to referral.
NONBACTERIAL CYSTITIS IN FEMALES (Irritable Bladder Syndromes)
These patients have symptoms similar to and often mistaken for bacterial cystitis. The patients complain of frequency, urgency, and\or urge incontinence and nocturia; there is a spectrum of severity ranging from annoying to almost debilitating symptoms. The hallmark for this diagnosis is irritable symptoms and a negative urinanalysis.
Specific Syndromes:
- Overactive Bladder
"frequency/urgency" syndrome; mild end of spectrum
can be exacerbated by stress, caffeine, alcohol or nicotine.
Urinalysis must be negative
Rx:
- reassurance (benign, albeit chronic disorder)
- behavior modification (decrease fluid intake if excessive, decrease caffeine, alcohol or nicotine and start timed voiding if indicated)
- Anticholinergics:
Ditropan XL, 5,10,15mg\day
Detrol LA, 4mg\day
Urispas 100-200mg TID-QID
Levsinex BID-TID
- Urethritis
- true urethritis represents only a small percent of patients with irritable
- voiding symptoms
- pyuria on initial voided UA
- urethral tenderness on exam
- Treatment doxycycline 100mg BID x 7Days
- Atrophic Urethritis/Vaginitis
- can produce irritable voiding symptoms in post-menopausal women
- note atrophic changes on external genital exam, easily identified by lack of rugae of the vaginal mucosa
- Treatment: topical premarin
- Carcinoma in Situ
- usually seen in middle-older aged smokers or former smokers
- irritable bladder symptoms accompanied by hematuria
- (micro or gross)
- obtain first morning voided urine for cytology; if suspicious refer to
a urologist for cystoscopy
- Interstitial Cystitis (IC)
- extreme end of spectrum
- symptoms: severe frequency, urgency and typically suprapubic pain that
is relieved with voiding
- patients may also complain of dyspareunia
- diagnosis of exclusion: UA, urine cultures must be negative
- if indicated, urine cytology should be obtained
- final diagnostic step is a cystoscopy under anesthesia combined with hydrodistension of the bladder and\or bladder biopsies; IC pts demonstrate characteristic findings in the bladder in response to hydrodistension.
- Rx: hydrodistension, Elmiron 100mg TID
Intravesical instillation of various medications such as DMSO
BACTERIAL CYSTITIS IN MALES
- symptoms are same as in female however significance is greater
young, healthy men rarely get cystitis without underlying anatomic abnormalities
therefore evaluation of urinary tract with IVP and in select cases VCUG is
indicated- in elderly male population (and at times in younger men) prostatitis can
be the underlying etiology
- in older men with BPH large residual urine can predispose to cystitis
- UA and urine cultures should be obtained in all patients
- treatment is same as in female patients with particular emphasis on antibiotics that
have good penetration into prostatic tissue in case that is the source of the
infection. Good first-line antibiotics are therefore Septra or Tetracyclines; quinolones are excellent second line drugs.
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THE PROSTATE
BENIGN PROSTATIC HYPERPLASIA (BPH)
General Information
- Occurs in aging males; usually after age 50
- Symptoms consist of hesitancy, decrease force and caliber of the urianry stream, sense of incomplete bladder emptying, frequency, nocturia, possible urgency with occasionally urge incontinence
- The symptoms are often worse at night and early in the morning
- The size of prostate gland estimated on the digital rectal examination does not necessarily correlate with severity of the symptoms
- Mediations such as decongestants or other sympathomimetic drugs will often exacerbate symptoms and can precipitate acute urinary retention
Treatment
- Decision to treat is usually based on extent of patient's symptoms and degree to which they are interfering with his lifestyle
Mild to moderate obstructive symptoms in patients with small prostate glands will often respond to medical management with alpha-blockers:
Hytrin 2-5 mg\day
Cardura 2-4 mg\day
Flomax 0.4mg\day
- Patients with large prostate gland and significant symptoms are candidates for 5-alph-reducatase inhibitors, Proscar, 5mg\day.
- Transurethral resection of the prostate (TURP) is indicated in patients who fail or can't tolerate alpha-blockers and for whom the symptoms are significantly interfering with sleep, comfort, and lifestyle.
- TURP is the procedure of choice in patients who develop severe signs of bladder outlet
obstruction including recurring urinary retention or infection, deteriorating renal
function, bladder calculi or recurrent gross hematuria from prostatic bleeding.
- Many alternatives or minimally invasive procedure to these standard forms of therapy are being investigated:
ongoing investigations for the use of laser prostatectomy, hyperthermia and cryosurgery are being conducted, i.e., TUNA or transurethral needle ablation of the prostate
Referral to a Urologist
- Patients who are candidates for TURP i.e. whose symptoms are bothersome enough to desire surgery and who have failed or declined medical management
- Patients with PSA >4.0ng\ml
- Patients with abnormal digital rectal exam, i.e., prostate nodule, asymmetry of the prostate gland, or induration of the prostate gland
- Patients with uninfected hematuria
- Patients with recurrent UTIs
- Patients with deteriorating renal function who may have post-renal obstruction, i.e., hydronephrosis
- The mere finding of an enlarged prostate on DRE and the presence of mild to moderate obstructive voiding symptoms that are not bothersome to the patient do not necessitate referral
CARCINOMA OF THE PROSTATE
General Information
- most common malignancy in males (excluding skin cancer), more than 250,000 new cases detected each year
- second leading cause of cancer deaths in males, nearly 40,000\year
- however, only a small percentage of patients with prostate cancer die of the disease;
30-50% of men over 50 have microscopic disease;
8% have clinical disease;
3% die of disease
Screening
- screening for prostate cancer remains controversial; adding PSA to the DRE can
double the detection rate; no data is available to date however to prove that this
will decrease the mortality of the disease; in the process of screening some patients may receive treatment who don't need it
- patients can have cancer with a normal PSA; patients with a mildly elevated PSA may not have cancer; > 30% of patients with a PSA over 10 already have extracapsular disease
- Free and total PSA. The ratio of free or unbound PSA to total PSA or both free and bound PSA is test that is useful for men with PSAs greater than 4.0 and less than 10.0. In the past men with elevated PSA levels who were candidates for treatment had an ultrasound and biopsy. By obtaining a free to total PSA ratio which is greater than 25% in men with BPH and less than 25% in men with prostate cancer, many men can avoid biopsies
- for now, wide scale screening for prostate cancer with PSA is not being
advocated; yearly DRE is still the recommended screening modality at this time;
the trend does seem to be toward screening, at least of men between the ages of
50-70, and it may be that PSAD will ultimately be the recommended modality
- for now though, if patients request PSA for screening they should be informed of the
controversy; if they still desire the test it should be ordered
Refer to Urology
- any patient with a PSA >4 OR a suspicious lesion on digital rectal exam should be referred to a urologist for further evaluation; prior to referring a patient with a suspicious lesion a PSA should be obtained
- any man with a free\total PSA ratio less than 25% should be considered for urologic referral and then be advised about a prostate ultrasound and biopsy
- Patients greater than 79 y/o should NOT be screened for prostate cancer; nor should they be referred for asymptomatic nodules; they generally are not candidates for treatment at that age unless they have symptomatic disease; in those cases they become candidates for hormonal therapy but not curative therapy
PROSTATE INFECTIONS
- Bacterial Prostatitis
Signs and Symptoms of Acute Bacterial Prostatitis
- Presents with dysuria, frequency, urgency, fever, perineal discomfort,
obstructive voiding symptoms possibly even urinary retention
- Prostate often tender/swollen on digital rectal exam (take care not to perform rigorous rectal exam on these patients as you may precipitate septcemia)
- UA and urine cultures almost always positive.
Signs and Symptoms of Chronic Bacterial Prostatitis
- Often asymptomatic, except for periodic flare-ups of acute prostatitis or cystitis,
- May also present with mild to moderate frequency, urgency, dysuria,
perineal pain or painful ejaculation
- Midstream urinalysis and urine cultures may be negative
- Need to obtain post-prostatic massage urine specimen and/or expressed
prostatic secretion for microscopic evaluation (these specimens are obtained by
massaging prostate and express small amount of prostatic fluid at tip of urethral meatus for microscopic examination looking
- The diagnosis is confirmed with the findings of >5 WBC/HPF;
- Alternatively, patient can be asked to void after prostatic massage and that urine can be sent for a urinalysis and urine culture
Treatment
- Etiologic organisms are usually gram negative bacilli
- Many antibiotics do not diffuse well into the prostatic tissue
- Sulfas, tetracyclines, carbenicillin and quinolones tend to be effective
- Initial treatment should be for 2-4 weeks
- If prostatitis recurs within 3-6 months, repeat initial course of treatment, possibly extending it to a 6 week course and consider low dose suppression treatment with Septra DS or Bactrim DS one tablet daily for several months
- Prostatodynia or Chronic Abacterial Prostatitis
Signs and Symptoms
- Chronic syndrome producing symptoms almost identical to chronic bacterial
prostatitis but with normal exam and normal laboratory findings on the urinalysis and a negative urine culture
- Patients are often very anxious and preoccupied with symptoms
- Stress, caffeine, alcohol or nicotine may aggravate symptoms
- Treatment is empiric and nonspecific; this includes anti-anxiety medications, alpha-blockers, sitz baths, and non-steroid anti-inflamatory medications
- Patient should be reassured that he does not have a dangerous or life-threatening condition
- Patient should however also be informed that the symptoms tend to be chronic but will often eventually resolve or at least subside to some extent
- Medications that may provide symptomatic relief include:
Celebrex 100-200mg\day, Vioxx, 25-50mg\day or Motrin 400mg po tid
Alpha-blockers (Flomax, Hytrin, or Cardura)
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URETHRAL DISORDERS
URETHRTTIS
General Information
Symptoms usually consist of marked dysuria or urethral itching and in males more often than females a urethral discharge. Patients may also complain of frequency and urgency
Sexually Transmitted Urethritis
- Gonorrheal - usually presents with above symptoms accompanied by thick, yellowish urethral discharge and appearing within 2-10 days after sexual exposure. Stained smear shows intracellular Gram Negative diplococci. Culture for gonorrhea is positive. Treatment:
Ceftriaxone 250 mg IM x I
+
Doxycycline 100 mg BID x 7days
or
Zithromax 1gm\day for two days
- Nongonococcal - usually chlamydia (50%) or other (10-15%) including ureaplasma, trichomonas, H. Simplex. The discharge in these patients is usually thinner, more scant and usually clear. The recommended treatment for chlamydial or ureaplasma is Doxycycline 100 mg BID x 7days or Zithromax 1gm; for trichomonas treat with Flagyl 2.0 gram single dose or 500 mg BID x 7 days.
**Always treat exposed sexual partners
Nonsexually Transmitted Urethritis (NSU)
- In small percentage of patients urethritis can also be caused by same organisms that cause cystitis; these patients should have positive bacterial cultures of initial voided urine and should have pyuria. Treat with culture-specific antibiotics. Recurrent episodes may reflect underlying pathology e.g. urethral stricture in males or urethral diverticulum in females and these patients need to be referred to a urologist.
- Contact sensitivity to soaps, spermicides, detergents clothing dyes or lubricants used during sex may cause noninfectious urethritis. Elimination of chemical irritant should cause symptoms to resolve.
- Asymptomatic milky or mucoid urethral discharge during or following a bowel movement represents prostatic fluid expressed into the urethra by increased intrarectal pressure. It is not pathological and no treatment is indicated.
ATROPHIC URETHRITIS
- symptoms found in postmenopausal women, often similar to infections, with
urinary frequency, urgency and dysuria, but usually with negative urinalysis and urine
cultures
- physical findings consist of pale, thin mucosal surfaces of introitus, urethra and
vagina with decreased to absent rugae.
- treatment: topical Premarin cream every other day or oral estrogen replacement therapy
URETHRAL CARUNCLE
- small, benign, soft, red lesion usually protruding from female urethral
meatus in postmenopausal patient
- usually asymptomatic but can cause pain, bloody spotting or microhematuria
- requires treatment only if symptomatic; initial treatment includes topical Premarin
cream; if that fails, can be surgically excised.
URETHRAL STRICTURE
- seen almost exclusively in male patients; usually preceding perineal trauma (straddle
injury, urethral instrumentation, surgery) or following treatment of gonococcal urethritis
- symptoms consist of decrease force and caliber of urinary stream, need to strain
to void and possibly sense of incomplete bladder emptying; patients may also have
frequent UTI
- congenital or acquired meatal stenosis can be identified on exam by visualizing
an abnormally tiny meatal opening
- male patients suspected of having a urethral stricture should be referred to
a urologist
- true urethral strictures are rare in females; if present, often have a history of radiation or
vaginal/urethral surgery. In past however, many girls and women with recurrent
cystitis or irritative voiding symptoms were told that they had urethral strictures or urethral stenosis and needed periodic urethral dilation. That diagnosis and the use of urethral dilation to prevent cystitis has been largely abandoned in today's urologic
practice. Many patients with irritable bladders, females in particular, complain
of straining to void. However, they strain not because of obstruction by a
stricture, but rather because they feel the urge to void when there is very little
urine in their bladders.
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THE PENIS
CIRCUMCISION
- Circumcision is rarely necessary for medical reasons
- One exception is phimosis in the adult which may be a presenting finding in
undiagnosed men with diabetes mellitus
- Severe phimosis, recurring episodes of paraphimosis or balanitis represent the few medical indications when an elective circumcision should be performed
- Circumcision for personal or cultural reasons is a controversial issue which is usually left to the judgments of the patient, the referring physician or the urologists after evaluation of the patient
GENITAL WARTS
General Information:
- Papillary or cauliflower-like lesions on the penis, scrotum, urethra or anus
caused by a virus, human papilloma virus, and transmissible by direct sexual contact
- Warts can be difficult to eradicate
- They may recur unless the virus is destroyed in the deeper layers of the lesion
Treatment
- Small warts on the genital skin may be treated with topical application of 20% Podophyllum directly to the lesions with a cotton tip applicator
- Avoid exposure of surrounding normal skin
- Instruct patient to wash the medication off after 2-4 hours.
- Desiccation and sloughing of the warts typically will occur within a few days to
a week
- Repeat applications of Podophyllum may be necessary at 1-2 week
intervals.
- Another alternative is Condylox solution.
- Patients are to apply the Condylox BID for three days, wait for four days, and repeat the treatment cycle
- Patients with warts on external genitalia skin not responsive to Podophyllum or Condylox can be referred to a urologist
- Warts at the urethral meatus should be referred directly to a urologist
- Podophyllum or Condylox should not be used on mucosal surfaces
- Female genital warts should be referred to a gynecologist; anal warts should be
referred to a general surgeon or a colorectal surgeon.
PHIMOSIS
- Tight or stenotic foreskin which is difficult or impossible to retract
- May be congenital or acquired from infection or inflammation
- Also may be the presenting symptom of diabetes mellitus
- If mild and not complicated by recurring balanitis, obstruction to urinary flow or
painful erections, no treatment is necessary
- If more severe and/or complicated by above factors, refer to a urologist for
evaluation for circumcision
PARAPHIMOSIS
Signs and Symptoms
- Tight or phimotic foreskin which has been retracted proximal to the glans penis and cannot be easily reduced
- Constriction by the phimotic band can lead to pronounced edema, erythema and pain of the glans penis and foreskin
- If not recognized and treated promptly secondary infection and necrosis can result
- Treatment consists of gently squeeze glans and foreskin/distal shaft milking proximally in attempt to relieve as much edema as possible; after this is done, pull foreskin down over glans while pushing glans proximally thus reducing the paraphimosis. This is often very painful and the patient may require sedation and analgesic medication
- If unable to reduce, refer to a urologist
BALANITIS
- Acute or chronic infection/inflammation of glans penis and/or prepuce
most often caused by yeast infection, with erythematous patches on the glans and
prepuce
- uncircumcised men are more susceptible, especially diabetics
- treatment: topical antifungal creams
- prophylaxis: hygienic measures to keep glans and prepuce clean and dry
- treat female sexual partner if she has yeast vaginitis
- circumcision may be necessary in recurrent cases
PEYRONIE'S DISEASE (need information for Verapamil and Website)
- Acquired, idiopathic condition involving the formation of fibrous plaques in the tunica albuginea of the corpora cavemosa
- Usually presents as curvature of the penis during erection that may or may not be associated with pain; in severe cases the angulation may prevent successful intromission
- On exam, can palpate plaque usually located on dorsum of penile shaft
condition often resolves spontaneously but may take many months to a year or so
- Due to incidence of spontaneous regression and potential risks of surgery the management tends to be very conservative
- Potaba (anti-fibrotic agent) can be tried but success is variable and difficult for patient compliance due to large number of pills required and Gl upset in some patients
- A new medical alternative is the application of Verapamil paste to the penile lesion three times a day may result in softening of the plaque and a decrease in the curvature of the penis. However, this treatment requires 3-6 months before any significant change will take place. You can obtain this medication for your patient by having him contact 1-800-687-9014 or go online at: http://www.pdlabs.net/
- Surgery (excision of plaque, grafting and\or placement of penile prosthesis) is offered to those patients who have had the condition for at least one year with no sign of improvement and in whom the curvature is so severe that it is interfering with ability to engage in intercourse. Impotence and loss of sensation to the penis are potential complications of excision.
- Congenital curvature of the penis is a separate entity; this is present from birth and results from asymmetry in length of corpora cavemosa; this can be surgically corrected with a penile plication procedure in those patients for whom it causes problems with sexual performance
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THE TESTICLES AND SCROTUM
TESTICULAR AND SCROTAL MASSES
General information
Most masses that arise from within the scrotum are benign, testicular neoplasm is uncommon but must be ruled out in all cases. Masses that arise adjacent to the testicle are, as a rule, benign and those that arise within the testicle are usually malignant but it can be difficult to differentiate between the two.
Hydrocoele and Spermatocole
The first diagnostic maneuver is to try to transilluminate the mass. A mass that will transilluminate is usually a hydrocoele or a spermatocoele. A hydrocoele in the pediatric patient should be referred to a urologist for repair if the child is over one year of age and referred urgently if it is tender or there is a hernia that becomes incarcerated. An adult hydrocoele is most commonly the result of the failure of the scrotal lymphatics to reabsorb the normal fluid produced by the tunica vaginalis on the testicular surface. They are usually painless but can become quite large. Patients usually are seeking reassurance but will sometimes request referral because the lesion is unsightly or uncomfortable with tight clothing. Some hydrocoeles are associated with epididmytis and are usually painful; some are associated with testicular tumors. In the former case, the hydrocoele may resolve with treatment of the underlying cause. Ultrasound examination is indicated to rule out testicular neoplasm if the testicle cannot be palpated.
Some hydrocoeles do not transilluminate. These are often chronic hydrocoeles that have been inflamed or infected and have an associated thick fibrotic capsule that does not allow the light to pass through. These can be confused with hernias. The examination of the internal/external ring and the presence of bowel sounds in the scrotum can usually make the diagnosis. Omental hernias can be challenging; again ultrasonography is often helpful. A hydrocoele of the cord is simply an inclusion cyst in the processus vaginalis and can be resected if troublesome, i.e., causing pain or is large enough to be cosmetically unacceptable.
A spermatocoele is a cystic collection of fluid and spematocytes resulting from a leak at the level of the rete testis. Again, these are usually asymptomatic and require no treatment. The spermatocoele can be resected if it becomes large enough to trouble the patient of becomes painful.
Varicocoele
A varicocoele is a collection of varicose veins from the pampiniform plexus in the spermatic cord, usually on the left side. The have a doughy irregular feel within the cord, commonly described as "a bag of worms". They are prominent when the patient is upright and when the patient performs the valsalva maneuver; they will often disappear when the patient is supine. Varicocoeles do not transilluminate. If the patient has typical aching with heavy lifting, conservative measures including wearing a bicycle chamois, seat and NSAID's are effective. Varicocoeles can be, but are not invariably, associated with infertility. They can also be associated with testicular atrophy. Varicocoeles associated with abdominal masses, isolated right sided varicocoeles, varicocoeles in infants, varicocoeles associated with testicular atrophy or infertility should be referred to a urologist.
Adenomatoid Tumor
Adenomatoid tumors are small benign pea-like lesions in the tunica albuginia of the testicle. They are painless and are clearly on the surface of the testicle rather than inside the tunica. They require no treatment. Should there be any uncertainty about the diagnosis, an ultrasound is diagnostic.
Sperm Granuloma/Suture Granuloma
A sperm granuloma or suture granuloma is a small painless to slightly tender mass adjacent to the testicle (sperm granuloma) or near the severed end of the vas deferens which occurs after vasectomy. They are the result of the immune response elicited by spermatozoa that leak or by the suture itself. Treatment is symptomatic; heat, NSAID's and scrotal support. If the pain does not resolve, the lesion can be resected.
Lipoma of the Cord
Lipoma of the cord is a painless, rubbery mass in the cord. It will not transilluminate and can be confused with a hernia. It will not reduce; no treatment is required.
Sebaceous Cyst of the Scrotum
Sebaceous cysts occur commonly on the scrotum. They present as small discrete spherical subcutaneous masses filled with sebum. They can be multiple. No treatment is required unless they become infected. Antibiotics and drainage may be required. Some patients request removal for cosmetic reasons in which case the cyst wall must be completely excised.
EPIDIDYMITIS
General Information
- Acute infection or inflammation causing swelling and tenderness of the epididymis. In severe/advanced cases, can extend to involve the testis and may be associated with fever, chills and leukocytosis.
- Usually secondary to urethritis, prostatitis or cystitis. In young sexually active men suspect underlying sexually transmitted disease; in elderly patients suspect underlying UTI. If UA is positive, obtain Urine C&S.
- Onset is usually gradual over several days; may be accompanied by symptoms of lower tract UTI or urethral discharge depending on underlying etiology.
- Physical exam: swollen, tender epididymis (lies postero-lateral to testis), and\or erythyema, cord often tender, elevation of testis may help alleviate the pain.
- Resolution is usually slow and may take up to 4-6 weeks for complete resolution of swelling/induration.
- At times differentiation from testicular torsion may be difficult. Torsion usually has a more abrupt onset and tends to be seen in younger patients. If history and exam equivocal a nuclear perfusion scan of the testicle can be very helpful if available; if not available and question remains, obtain a urologic consult.
Treatment
- If urine culture is positive, use sensitivity specific antibiotics for 2-3 weeks.
- For empiric treatment, Septra DS bid for 2-3 weeks in the elderly male
population and Ceftriazone 250mg IM x I followed by Doxycycline 100 mg bid for 7-10 days in the young sexually active patient.
- Supportive measures in the first few days to help alleviate symptoms include analgesics (NSAIDS), scrotal support/elevation, and restriction of strenuous physical activity.
- In severe cases with associated fever and symptoms of systemic toxicity,
hospitalization with IV antibiotics may be indicated.
Refer to Urology
- Referral to Urology is not necessary for isolated cases that resolve with standard therapy.
- Refer cases that fail to resolve, recur frequently, or become chronic.
TESTICULAR TORSION
General Information
- Spontaneous twisting of the testicle and spermatic cord within the scrotum,
strangulating the blood supply to the testicle.
- Presents as sudden onset of pain and swelling of the testicle; may be accompanied by nausea, vomiting.
- Usually occurs in prepubertal and adolescent boys but may also occur in young adults; unusual in middle-aged and elderly men.
- Physical exam: pt in considerable distress secondary to pain; involved testis
swollen, often elevated in scrotum and may be rotated on axis so that lying in a transverse rather than vertical plane. The cord above the testis may be thickened; entire testis usually exquisitely tender; unless seen very early there may be diffuse swelling making palpation of anatomical landmarks difficult.
- Urinalysis is usually normal. CBC is usually normal but mild leukocytosis may be present.
- If trouble differentiating from epididymitis, consider emergency nuclear scan of testis; torsion will show decreased perfusion of testicle and epididymitis will show increased perfusion secondary to inflammation.
Treatment
- Torsion of the testis is a urologic emergency: irreversible testicular damage can occur within as little as 4-6 hours. Contact a urologist for emergency consultation.
- Obtain stat CBC and UA and keep patient NPO until the urologist evaluates patient; if torsion is suspected patient requires emergency surgical exploration.
TORSION OF THE TESTICULAR AND EPIDIDYMAL APPENDAGES
General Information
- Tiny polypoid vestigial appendages are found on the anterior superior surfaces of the testicle and epididymis. These appendages may torse, typically in prepubertal boys.
- Presents as sudden onset of sharp testicular pain; unlike torsion of the entire testis though, the pain tends to be localized to the superior pole.
- If seen early, careful palpation can often localize point tenderness over the
anterior superior surface of the testis or epididymis and if the scrotal skin is drawn tight over this point, you may even see the classic "blue dot" sign (the necrotic appendix).
- Clinical signs and symptoms are usually less severe than in testicular torsion but after several hours sufficient testicular swelling may develop making differentiation between the two difficult.
- If diagnosis is ambiguous, emergency perfusion scan is desirable if available. Otherwise obtain an emergency urology consult to aid in diagnosis.
Treatment
- If diagnosis unequivocal treat symptomatically with analgesics, rest and ice to help reduce the swelling. Symptoms will resolve within a week or so without damage to the testicle.
- If diagnosis ambiguous obtain emergency Urology consultation; if any question exists as to the possibility of testicular torsion surgical exploration is indicated.
INFERTILITY
Prior to embarking on an evaluation of infertility, make sure couple has had one year of unprotected intercourse at appropriate time intervals without conception. Both male and female partners should then undergo evaluation of infertility. Prior to any infertility evaluation of the female the male partner should have a formal semen analysis documenting abnormality. The man should abstain from intercourse or should not masturbate for 48 hours prior to the semen analysis. Ideally they should have 2-3 semen analyses as there can be considerable variation from one exam to the next. Patients with abnormal semen analyses should also have serum FSH, LH and testosterone and prolactin levels drawn prior to referral to a urologist.
"NO INCISION" VASECTOMY
- Patients need to have an initial consultation several weeks prior to having a vasectomy in order to learn about the procedure, the risks and complications and the instructions following the procedure. At that visit they will be provided educational materials, watch a video on the procedure and sign a consent. If they are married, we request that the wife also sign the consent.
- Following the initial consultation patients will be scheduled for the procedure to be performed in the office under a local anesthesia.
- Patients need to understand that they are not sterile immediately after the procedure and need to ejaculate 15 times or wait three months and have at least two semen analyses to be sure that no sperm is seen in the ejaculate before they are considered sterile and can have intercourse without the use of any contraceptives.
VASOVASOSTOMY OR VAS REVERSAL
- Vasovasostomy is usually not covered by the patient's insurance, therefore, the patients are required to pay for the cost of the procedure.
- Patients may obtain cost-estimates from our office manager.
- The procedure is done on a one-day stay basis and the patient and partner need to understand that no sperm may be seen in the ejaculate for 3-6 months after the procedure
IDIOPATHIC TESTICULAR PAIN (Idiopathic orchalgia)
- Painful testicle(s) in the presence of a completely normal testicular and scrotal exam.
- Make sure there are no other signs or symptoms that may indicate nontesticular etiology of the symptoms e.g. hernia, muscle strain, ilioinguinal nerve irritation, ureteral stone or psychogenic problems.
- Often, no specific cause can be found for apparently bona fide testicular pain.
- In true cases of idiopathic orchalgia, reassure patient that no serious pathology exists (at times it may be indicated to obtain a testicular ultrasound to aid in reassuring patient that no occult testicular mass exists).
- Empiric symptomatic treatment may aid as an adjunct to reassurance, e.g. nonsteroidal anti-inflammatory agents, empiric course of doxycycline100mg BID, for 1-2 weeks, avoidance of tight clothes, and switching from boxer shorts to briefs for better scrotal support
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MISCELLANEOUS TOPICS
EVALUATION OF HEMATURIA
Gross Hematuria
- Gross hematuria, whether accompanied by pain or not, almost always requires
diagnostic investigation. Initial diagnostic studies include IVP and cystoscopy.
Sonography, CT scan, bacteriological studies, retrograde pyelography, or other
studies may be indicated by individual clinical circumstances. These patients
should all be referred to a urologist; an IVP should be obtained prior to referral.
- Exceptions to this rule which may not require investigation, or which may require
only limited investigation, include:
- Hemorrhagic Cystitis: gross hematuria clearly associated with acute UTI
and which promptly clears with treatment of the infection, does not
require separate diagnostic evaluation. These patients need follow up urinanalyses to be certain that the hematuria has cleared
- Exercise Hematuria: isolated episodes of painless gross hematuria soon
after strenuous physical exercise, particularly running and jogging, is a
recognized and benign syndrome and does not require diagnostic
evaluation.
- Initial or Terminal Stream Hematuria: blood present only in the first or
final portions of the urinary stream originates from the bladder neck,
prostate, or urethra. IVP usually is not necessary. Common causes are
urethritis, prostatitis, BPH, urethral caruncle, atrophic urethritis, urethral
condylomata and hematospermia. Urethral carcinoma is an extremely rare consideration. If history and physical examination do not make the cause clear, or empirical treatment for urethritis or prostatitis does not eliminate the problem, cystoscopy may be indicated.
- Anticoagulated Patients with Coagulation Studies Beyond Therapeutic
Ranges: anticoagulation meds should be adjusted to bring the patient into
therapeutic range; if hematuria persists then evaluate patient in usual
fashion for the hematuria; if hematuria resolves, no evaluation indicated.
- Gross hematuria associated with proteinuria and casts, with or without pyuria
and/or azotemia, suggests glomerulonephritis and should be evaluated as such.
These patients should be referred to a nephrologist.
- Prior to any diagnostic studies to evaluate gross hematuria, it should be
established that the blood does not represent contamination from the vagina,
introitus, prepuce or glans penis.
MICROSCOPIC HEMATURIA
General Information
- Between 10-15% of adults over the age of 35 will have microhematuria at some time,
- Diagnostic evaluation of all patients with microhematuria will reveal some
abnormality in slightly less than 50%, and serious urologic disease will be found in only about 2-5%.
- There is generally a greater chance of significant disease when larger numbers of RBC's are present. However, serious disease may be present with only a few RBC's/HPF.
- Benign Idiopathic Hematuria: the likelihood of serious disease is low in patients who fulfill all of the following low risk criteria, and such patients do not require further diagnostic evaluation:
- Urologically asymptomatic.
- Normal genitourinary physical exam.
- No glomerulonephropathy risk factors:
- Proteinuria
- Azotemia
- Red cell, granular, or hyaline casts
- Dysmorphic red cells
- Exposure to nephrotoxins
- Fewer than 10 RBC's/HPF
- No cancer risk factors:
- Smoking
- Past history of GU cancer
- Chronic exposure to aromatic amines
- History of schistosomiasis or travel to countries where this parasite is endemic
- No past history of major urological disease
- Age under 50
Evaluation
- Before instituting diagnostic workup, confirm that the patient definitely has microhematuria by both dipstick and microscopic examination of the urine specimen on at least 3 separate specimens. Be sure that the RBC's do not represent contamination from the vagina, introitus, prepuce, or glans penis.
- For those patients who do not meet the low risk criteria outlined above,
evaluation should proceed with IVP and referral to a urologist for evaluation which includes a cystoscopy.
HEMATOSPERMIA
General Information
- Bloody ejaculate, brown ejaculate, or post-ejaculatory gross hematuria or bloody urethral discharge is almost never a sign of any serious disease.
- Hematospermia may be found in association with prostatitis or seminal vesiculitis, but in the absence of other signs or symptoms of prostatic infection, hematospermia
represents nothing more than "epistaxis" of the prostate at the moment it contracts during
emission and ejaculation.
- The phenomenon of hematospermia may be a single, isolated event, but it frequently is recurring. It is often very upsetting and alarming to patients and their partners
Treatment
- If evidence of prostatitis is present treat accordingly.
- In the absence of prostatitis, there is no specific treatment for hematospermia.
- Patients should be reassured that nothing serious is wrong. Explain that a tiny and
fragile blood vessel within the prostate gland ruptured during ejaculation, like a nose bleed.
- Further explain that it is not possible to find or treat the blood vessel causing the
problem.
- Further explain that the problem can recur, and the patient does not need to be alarmed if it does recur, but that the problem eventually goes away.
- Advise the patient that, should he notice hematospermia again, he should abstain from sex for several weeks thereafter, to allow the blood vessel time to "heal" securely.
- There is no medical necessity to refer patients with hematospermia for urological
consultation unless they refuse to accept the reassurances of other physicians and demand to see a specialist.
SEXUAL DYSFUNCTION
ERECTILE DYSFUNCTION (ED) OR IMPOTENCE
General Information
- ED is defined as the inability to achieve and maintain an erection that is adequate for intercourse.
- The majority of ED (85%) has underlying physical or organic causes; a minority (10%) of cases are psychogenic in origin. These statistics are especially accurate in men over the age of 50.
- Psychogenic ED tends to have a more sudden onset, often triggered by a specific event or set of circumstances. It may be intermittent or situational (e.g., patient gets good erections at some times but not at others, or he gets good nocturnal erections, but not with partners, or partner-specific erections where he has an erection with one partner and not with another). It can be caused by job stress, a dysfunctional relationship, depression, an isolated bad sexual encounter, preoccupation with poor sexual performance, etc. These patients get normal nocturnal and early morning erections. Patients with psychogenic ED can usually be easily identified and can be referred for psychiatric evaluation or sex therapy.
- Organic ED is most often secondary to a variety of medical illnesses and/or their treatments. The most common cause of organic ED is vascular causes such as hypertension, dyslipidemia, and atherosclerosis. Diabetes accounts for 33 % of impotent patients and atherosclerotic disease for another 25%; radical pelvic surgery accounts for 10%; other organic causes include neurological diseases such as multiple sclerosis, strokes or spinal cord injuries and hormonal causes.
Prescription drugs, particularly beta blockers, vasodilators, phenothiazines, thiazide diuretics, antidepressants and antianxiety drugs (SSRIs) can be a source of erectile problems in some patients.
- Hormonal impotency, due to low testosterone levels can occur but is not very common. These patients characteristically present with decreased libido and may also demonstrate testicular atrophy on exam. If patients complain of decreased libido obtain a serum testosterone in the morning when the diurinal variation of testosterone is highest and prolactin level; in the presence of normal libido and normal testicular exam these blood tests are usually not necessary.
Treatment
- In true hormonal impotency androgen replacement is indicated; however, this is only a small percentage of patients. Administer androgens with caution to elderly males because of the risk of stimulating an occult prostatic carcinoma or BPH. If these men have a normal digital rectal exam and a normal PSA level, then it is safe to offer them testosterone replacement therapy.
- If patient is taking antihypertensive medication or other drugs that may cause ED switch to alternative medications if medically feasible. The ACE inhibitors and calcium channel blockers are the least likely to cause ED. Wellbutrin is an SSRI that is less likely to cause ED than other SSRIs.
- Patients not falling into either of the above two categories may be tried on the medication Viagra (sildenafil). The initial dose is 50mg Patient need to be instructed to take the medication 45-60 minutes before they engage in sexual intimacy. They also need to be instructed that they will require genital stimulation in order for the erection to occur. The best results are achieved when the man takes the medication on an empty stomach or in the absence of a high fat meal. Also, alcohol seems to impede the absorption of the medication. The men also need to know that they may have to try the medication for 6-8 times before they are successful.
Levitra (vardenafil) is also a phosphodiasterase-5 inhibitor that can be taken with food. The starting dosage is 10mg and can be increased to 20mg. The drug should not be used in conjunction with alpha-blockers such as Cardura, Hytrin, or Flomax.
3.
The side effects, which are uncommon, include headaches, sweaty palms, dizziness, nervousness and nausea. Men may also complain of discoloration around bright lights but this complaint is usually transient and will subside in just a few hours.
None of the oral therapies, i.e., Viagra or Levitra, should be prescribed in men who use or could use nitrates such as sublingual nitroglycerin or nitroglycerin patches.
- Prior to embarking on more invasive treatment options it is important to first ascertain the patient's motivation to do so. The patient and ideally his partner as well, need be motivated and willing to actively participate in the treatment of this problem. If they are pursuing the treatment options just out of curiosity or because they feel as if they should meet some baseline standard of performance they are unlikely to be good candidates for additional therapy.
- External Vacuum Therapy: a simple, safe and non-surgical method of producing a quality erection. The device consists of a plastic cylinder, a pump, and a special constriction ring. The patient inserts his penis into the cylinder after first pre-loading the constriction ring onto the cylinder; the pump is then used to create negative pressure that results in engorgement of the penis. When fully erect, the ring is transferred to the base of the penis to maintain the erection during intercourse. The devise is effective in 80-90% of patients. There is a learning curve involved and the patient needs to be patient and to have realistic expectations.
- Penile Injection Therapy: certain vasoactive drugs injected directly into the corpora
cavenosa of the penis have been found to produce good erections in up to 65% of impotent patients. The most common drugs used are Papaverine, Phentolamine and Prostaglandin El. These medications are most effective in patients with neurogenic ED but can work in patients with mild to moderate degrees of vasculogenic ED. It is essential to have a highly motivated and responsible patient; there are potential complications of these treatments if used improperly e.g. infection, hematoma formation, pharmacologically induced priapism. Some patients on this therapy have also
been found to develop fibrous plaques in the penis; the long-term implications of these are unknown.
- Penile Prostheses: entails surgical placement. There are two main types of implants, the malleable form which is always erect but bends for concealment, and the inflatable form which in addition to the two penile cylinders has a reservoir and pump device allowing inflation and deflation of the device. Placement of a penile prosthesis requires a one-day stay surgical procedure. The success rate is >90%.
PREMATURE EJACULATION
General Information
- Premature ejaculation is a psychologically conditioned response pattern which usually improves well with behavior modification methods of psychotherapy.
- There is usually no known organic cause of premature ejaculation.
- Occasionally a patient will see the doctor with the chief complain
plain of ED, when actually the problem is premature ejaculation, following which he loses his erection. Question the patient carefully about what is happening.
- No specific testing is indicated or available for premature ejaculation
- Treatment consisting of SSRIs include:
Zoloft, 25-50mg 2-4 hours before intercourse
Anafranil, (sertraline) 25-50mg 4 hours before intercourse
URETHRAL CATHETERIZATION
Troubleshooting Tips for Catheterization
- The most commonly used catheters for routine catheterization are Foley latex
catheters, 16F or 18F. These sizes are small enough to minimize patient
discomfort and large enough to provide free urinary drainage. Special types of catheters are indicated for specific cases and will be described below.
- Catheters should be liberally lubricated with a water-soluble lubricant prior to
introduction. The contents of the small lubricant packets usually included in prepackaged catheterization kits or available separately on the hospital wards are often inadequate. Liberal lubrication both increases the ease of catheter passage and decreases patient discomfort during the procedure. As an alternative, 5-15cc of either plain lubricant, K-Y jelly, or Xylocaine jelly may be instilled directly into the urethra for additional lubrication and/or local anesthesia in a very anxious patient or in whom the catheter would not readily pass the first time.
- Never inflate Foley balloon until urine is draining from the catheter. If you think you are in the bladder and no urine is draining, irrigate catheter with a catheter-tipped syringe. If you are in the bladder, the catheter will irrigate freely. You may then inflate the balloon (we usually use 10cc in the 5cc balloons) and withdraw the catheter from the urethra until you feel the balloon's resistance against the bladder neck. Make sure you tape the catheter to the patient's thigh to avoid accidental removal of the Foley.
- If you are unable to pass a 16F or 18F catheter beyond the prostate or bladder neck, you will be more likely to succeed by trying a larger catheter than a smaller one. Smaller
catheters are softer and more likely to buckle and kink when resistance is encountered.
- In some males with BPH the prostatic urethra may make a sharp turn anteriorly before reaching the bladder neck, and conventional catheters may have difficulty "making the turn." In such situations, using a Coude catheter, which has an angled tip, may be successful. Always pass a Coude catheter in such a fashion that the tip will be angled anteriorly when it reaches the prostatic portion of the urethra.
- While steady advancement pressure of a well lubricated (especially if lidocaine jelly has been instilled into the urethra) catheter will often overcome resistance of BPH or
sphincter spasm, strong force should never be used.
- When resistance to catheter passage is encountered despite taking above measures, try and ascertain at what level the obstruction is, e.g. distal urethra, bulbar urethra, prostate or bladder neck. You may be dealing with a stricture. Stop, and call a urologist for further advice and assistance.
- If a patient is in large volume (> 500cc) acute urinary retention of many hours duration, a catheter usually should be left indwelling for several days to a week, to allow the bladder to decompress and regain its tone. Following straight in-and-out catheterization such patients are likely to develop recurrent retention. These patients should therefore be discharged home with the Foley in place, given instructions on care, leg bags for daytime use and regular bedside Foley bag (larger volume accommodation) for nighttime use. A consult should be sent to a urologist for follow-up. These patients will be seen within 5-7 days for a voiding trial.
- Clot Retention: This can be a difficult situation to resolve. However, with the appropriate catheters and patience most of these cases can be handled in the Emergency Department. The key to irrigating clots out of the bladder is to use a catheter of sufficient diameter, and at times, even a special catheter that has a greater number and larger size of holes at the end of the catheter to facilitate evacuation of clots. Taking the extra time and effort will frequently save the patient an emergency cystoscopy which could require a trip to the operating room. Initially a 22F or 24F Foley can be passed and vigorous manual irrigation with a catheter-tip irrigating syringe employed. It is advantageous to not inflate the Foley balloon initially for two reasons: first, the pressure of the inflated balloon may narrow the caliber of the catheter lumen and secondly, in irrigating clots out of the bladder you need to be able to move the catheter in and out; most clots will settle onto the floor of the bladder and you will not be able to irrigate these out with the catheter inserted up to its hub, but rather only when it is pulled back several centimeters so that the holes at the end of the catheter are just inside the bladder neck. Continue irrigating manually until no further clots come out and until the irrigation fluid flows easily in and out of the catheter and the color of the effluent irrigant changes from dark burgundy/red to light pink/clear.
If you are unable to do this through the 22F or 24F Foley, obtain a "6-eye" catheter of
similar size; the 6-eye catheters are designed specifically for clot irrigation. They
have 6 holes rather than the stand 2 holes at the tip of the catheter and the holes are also
of larger diameter to allow easier passage of clots into and through the catheter. These
catheters do not have a balloon on the end and therefore cannot be left indwelling; if it
is indicated to leave a catheter in the patient after clot evacuation, a second Foley, usually a 22-24F, needs to be placed.
Patients who are in clot retention with old-appearing clots (brownish/burgundy colored) can usually be sent home without a catheter. Old clots usually represent prior bleeding rather than current, ongoing bleeding. If any small clots are remaining, they can actually be more readily passed out by voiding through the urethra than through even the largest of Foley catherters. However, if the color of the clots and urine is bright red, this implies fresh, ongoing bleeding and these patients are likely to develop recurrent clot retention. These patients are often best managed by insertion of a 3-way irrigation catheter (once all the clots are evacuated) and then started on continuous bladder irrigation (CBI). A urologist should be contacted if any questions regarding need for admission for CBI. Otherwise, if patients meet criteria for clot evacuation in ER and discharged to their home, consultation should be obtained with a urologist for outpatient follow-up.
INCONTINENCE
Definition: condition in which the involuntary loss of urine is a social or hygienic problem and is objectively demonstrated.
ETIOLOGIES
- BLADDER DYSFUNCTION
- Motor Instability - bladder demonstrates involuntary or uninhibited detrusor contractions at relatively low volumes. The various causes are:
- Idiopathic
- Neurogenic - upper motor neuron lesion, e.g. spinal cord injury,
myelodysplasia, CVA, multiple sclerosis
- Obstructive - 15% of men with BPH demonstrate associated detrusor instability
- Irritative - infectious versus noninfectious, e.g. foreign body, CIS, interstitial cystitis
- Sensory-Urgency Syndrome - intense sensation to void at low volumes; also known as urethral syndrome, irritable bladder syndrome.
- Low-Compliance Bladder - poor bladder compliance resulting from radiation therapy, chronic infection, or chronic inflammation from other causes.
- Overflow Incontinence - failure of bladder to empty urine secondary to
neurogenic disease (e.g., lower motor neuron lesion, DM), pharmacologic side effects (e.g., anticholinergics, sedatives) or bladder outlet obstruction (e.g. BPH, stricture); pressure of retained urine in bladder eventually results in dribbling of urine from overdistended bladder.
- URETHRAL INCONTINENCE
- Intrinsic Disease
- Mucosal/Submucosal Impairment - due to loss of estrogens in
postmenopausal women, surgical scarring or radiation injury.
- Sphincter Injury - occurring after a prostatectomy, usually a radical prostatectomy and rarely after a TURP, or other surgery/trauma.
- Innervation Damage - secondary to pelvic nerve injury from surgery, DM, peripheral autonomic neuropathies, pharmacologic agents.
- Anatomic Displacement - results in stress urinary incontinence (SUI) or the
involuntary loss of urine which occurs due to a sudden increase in intra-
abdominal pressure in the absence of a detrusor contraction. SUI is due to a weakening of pelvic floor support that results in downward and posterior displacement of the bladder neck and urethra causing the unequal transmission of pressure that results in urinary leakage. SUI tends to occur in women after multiple pregnancies, a difficult delivery.
- FUNCTIONAL INCONTINENCE
- Impaired mobility
- Impaired mental function
- Environmental factors
- Medications or disease
TREATMENT
- BLADDER DYSFUNCTION
- Motor Instability
- If neurogenic, pharmacologic treatment:
- Anticholinergics/Musculotropics
- Detrol LA, 4mg\day
- Ditropan XL, 5, 10, or 15mg\day
- Urispas 100-200mg TID-QID
-Oxytrol 3.9mg patch applied once every 3-4 days or twice weekly
- Tricyclic antidepressants
- Imipramine 25-l00mg/day
- If obstructive, relieve obstruction, e.g. TURP
- If irritative, treat underlying problem e.g., treat CIS or UTI
- If idiopathic, pharmacologic treatment and\or behavior modification (e.g., timed voiding)
- Sensory-Urgency Syndrome - anticholinergics and\or behavior modification
- Low Compliance - anticholinergics and surgical treatment if necessary (bladder augmentation)
- Overflow
- If neurogenic, Clean Intermittent Catheterization (CIC), or less desirable, indwelling Foley
- If obstructive, relieve obstruction, e.g. TURP
INDICATIONS FOR UROLOGIC REFERRAL
- Pharmacologic failure
- Hematuria, especially if uninfected
- Recurrent UTIs, especially with relapse of the same organism
- Pelvic pain, dysuria, frequency, urgency and negative UA and urine cultures
- Significant anatomic defect, i.e., cystourethrococele
- Severe stress incontinence
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