Match the following clinical presentations of urologic pathology with their most appropriate definitive surgical management.
- A 15-year-old boy presents with a 4-hour history of sudden-onset, severe unilateral scrotal pain, nausea, and an absent cremasteric reflex.Urgent surgical exploration and bilateral orchiopexy
- A 65-year-old man presents with recurrent urinary retention and failure of dual medical therapy for benign prostatic hyperplasia.Transurethral resection of the prostate (TURP)
- A 58-year-old man is found to have an incidental 3-cm solid, enhancing mass in the lower pole of the right kidney.Partial nephrectomy
- A 70-year-old man with painless gross hematuria undergoes cystoscopy, which reveals a 2-cm superficial papillary lesion.Transurethral resection of bladder tumor (TURBT)
Cevap
Testicular torsion requires bilateral orchiopexy; refractory BPH requires TURP; a small renal mass requires partial nephrectomy; and a superficial bladder tumor requires TURBT.
The correct matches align each clinical presentation with its evidence-based, gold-standard surgical intervention as outlined by urological guidelines. Testicular torsion is a surgical emergency necessitating immediate bilateral orchiopexy. Refractory BPH with complications requires TURP. A small renal mass (clinical stage T1a) warrants a nephron-sparing partial nephrectomy. A superficial bladder tumor is diagnosed and treated initially with a TURBT.
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Anahtar Kavram
Definitive surgical management of common urologic conditions (torsion, BPH, renal cell carcinoma, and bladder cancer)