Match each clinical presentation to its most appropriate definitive surgical procedure.
- A 68-year-old man with benign prostatic hyperplasia, suffering from recurrent acute urinary retention despite maximal medical therapy.Transurethral resection of the prostate (TURP)
- A 14-year-old boy presenting with sudden, severe unilateral scrotal pain and an absent cremasteric reflex, highly suspicious for testicular torsion.Immediate surgical exploration and bilateral orchiopexy
- A 62-year-old man diagnosed with localized, muscle-invasive urothelial carcinoma of the bladder.Radical cystectomy with urinary diversion
- A 28-year-old man with a newly identified, firm, solid testicular mass and elevated serum tumor markers.Radical inguinal orchiectomy
Answer
BPH refractory to medical therapy is treated with TURP. Testicular torsion requires immediate surgical exploration and bilateral orchiopexy. Muscle-invasive bladder cancer is treated with radical cystectomy and urinary diversion. A solid testicular mass requires a radical inguinal orchiectomy.
Each clinical scenario requires a highly specific, standard-of-care surgical intervention. BPH refractory to medical therapy necessitates procedures like TURP. Testicular torsion is a surgical emergency requiring exploration and bilateral orchiopexy. Muscle-invasive bladder cancer requires radical cystectomy. Finally, a suspicious testicular mass is managed with a radical inguinal orchiectomy to prevent tumor seeding.
Step-by-Step Solution
Key Concept
Indications for core urologic surgical procedures