Match each clinical presentation to its most appropriate definitive procedural or surgical management.
- A 68-year-old man with a 3-week history of painless gross hematuria; in-office flexible cystoscopy reveals a 2.5 cm exophytic, frond-like mass on the right lateral bladder wall.Transurethral resection of bladder tumor (TURBT)
- A 26-year-old man presenting with a painless, firm, non-transilluminating nodule in the right testicle; scrotal ultrasound confirms a 1.5 cm solid, hypoechoic intratesticular mass.Radical inguinal orchiectomy
- A 74-year-old man with recurrent urinary tract infections, severe lower urinary tract symptoms, and two failed trials without a catheter secondary to benign prostatic hyperplasia.Transurethral resection of the prostate (TURP)
- A 58-year-old man with an incidentally discovered 3.2 cm solid, contrast-enhancing mass in the lower pole of the left kidney on a computed tomography scan.Partial nephrectomy
- A 32-year-old pregnant woman at 26 weeks gestation presenting with severe right-sided colicky flank pain, intractable nausea, and an obstructing 8 mm proximal ureteral calculus.Ureteral stent placement
Cevap
The correct matches pair each urologic condition with its gold-standard procedural intervention: Bladder tumor with TURBT, testicular mass with radical inguinal orchiectomy, complicated BPH with TURP, small renal mass with partial nephrectomy, and obstructing stone in pregnancy with ureteral stent placement.
Each clinical presentation necessitates a specific, guideline-directed procedural intervention based on anatomic location, underlying pathology, and patient-specific risk factors (such as pregnancy).
Adım Adım Çözüm
Anahtar Kavram
Definitive surgical and procedural management of common urologic emergencies and neoplasms.
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