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Index

A Bladder imaging, in urethral


Abdomen, burst, wound rupture, 95–97
dehiscence leading to, Bladder injuries, 97–109
145–146 associated with pelvic
Abdominal imaging in pelvic fractures, 89–90
fractures, 91–92 during caesarean section,
Acute-on-chronic high- 107
pressure retention, causes of, 97–98
12–13 diagnosing, 98–99
Amiodarone, epididymitis imaging studies for, 99
and, 52 surgical repair of, 108–109
Anaemia, 2 types of perforation in, 98
Anaphylaxis, 142–144 Bladder outlet obstruction, 9
Aneurysm repair, ureteric Bladder perforation, 98
injury during, 83 extraperitoneal, 100–102
Anuria, 4 iatrogenic, delayed
Appendix epididymis, torsion diagnosis of, 104
of, 127 intraperitoneal, 102–103
Appendix testis, torsion of, during transurethral
127 resection of prostate,
Arteriovenous fistulae, post 104–105
PCNL, 62 types, 98
Bladder rupture, spontaneous
B rupture after
Back pain, and urological augmentation, 107–108
pathology, 6–7, 11 Bleeding
Bacterial prostatitis, acute, after transurethral resection
48–49 of prostate, 146–147
Bed-wetting, and high following circumcision, 146
pressure chronic after scrotal surgery, 144
retention, 12 Blood loss, 83
Bladder augmentation, shock due to, 141–142
spontaneous rupture Blunt renal injuries, 54, 55
after, 107 Boari flap, 77, 80, 81
blocked catheter after, Buck’s fascia, rupture of,
170–171 110–111
Bladder cancer, TURBT and Bulbocavernosus reflex, and
bladder perforation, 99, spinal cord and cauda
101, 104 equina compression, 11
184 INDEX

‘Butterfly-wing’ bruising, due Digital rectal examination, 11,


to rupture of Buck’s 161
fascia, 109–110 Dilutional hyponatraemia,
and TUR syndrome, 148
C Dorsal slit, paraphimosis and,
Caesarean section, bladder 136–137
injuries during, 107 Dundee technique, for
Catheterisable stoma, paraphimosis, 136, 137
difficulty in catheterizing,
15 E
Catheterisation Emphysematous
suprapubic, see Suprapubic pyelonephritis, 38–41
catheterisation Epididymitis, 52–53
urethral, see Urethral Epididymo-orchitis, 6, 51–53
catheterisation Extracorporeal shock-wave
Cauda equina compression, lithotripsy (ESWL), 28–30
10 Extraperitoneal bladder
Cavernosography, 119 perforation, 100–102
Circumcision Extravaginal torsion, of testis,
bleeding following, 146 125
Closed-book pelvic fractures,
85, 87, 88 F
Clot retention, 2, 146 Fascial layers of penis, and
Colles’ fascia, and urethral urethral injury, 111
rupture, 109–110 Fasciotomy, for lower limb
Compartment syndrome, and compartment syndrome,
lithotomy position, 149 150
Computed tomography Flank pain, 1–2, 17–18
urography (CTU), 19, 22, Foreign bodies
23 attached to penis, 139
Constipation, 11 in urethra, 138–139
Cremasteric reflex, 128 Fournier’s gangrene, 49–51
Cystogram, retrograde, 93, 95 Fowler’s syndrome, urinary
retention and, 10
D
Dartos fascia, 109–110 G
Dartos pouch fixation, for Genital emergencies, 125–139
testicular torsion, 131
Degloving incision, for penile H
fracture repair, 120 Haematocele, following
Detrusor myectomy, testicular trauma, 113, 114
spontaneous bladder Haematoma, following
rupture following, testicular trauma, 114,
108 115
INDEX 185

Haematuria, 2–4, 18–19, 56 M


Haemorrhage, 141 Magnetic resonance
renal, after percutaneous urography, for suspected
nephrolithotomy, 60–63 ureteric stones, 25–26
Haemorrhagic shock, 141 Methylene blue, for
High-pressure chronic demonstrating
retention, 12–14 ureteric injuries,
High-riding prostate, and 68
pelvic fracture, 91 Mitrofanoff stoma,
Hydronephrosis, 13, 27 difficulties catheterising,
of pregnancy, 151–152 15
Hypercalciuria of pregnancy, 158 Myectomy, detrusor,
Hyponatraemia, dilutional, spontaneous rupture of
TUR syndrome and, 148 bladder and, 108

I N
‘Iced-glove’ method, for Neobladder, blocked catheter
reduction of after, 170–171
paraphimosis, 135–136 Nephrectomy, for ureteric
Ileus, 66 injury, 83
Intraperitoneal bladder Nephrolithotomy,
perforation, 102–103 percutaneous, renal
Intravaginal torsion, of testis, haemorrhage after,
127 60–63
Intravenous urogram (IVU), Nephrostomy, percutaneous,
19–21 see Percutaneous
Intravenous urography for nephrostomy entries
renal imaging, 58–59 Nephrostomy urinary
diversion, 156, 157
J
JJ stenting, 72–73 O
JJ stents, 28, 66 Oliguria, 4–5
insertion of, 171–175 Open-book pelvic fractures,
in pregnancy, 156–158 85, 86
Open suprapubic cystostomy,
K for pelvic fracture, 92–93
Kidney and urinary bladder
(KUB) x-ray, 34, 35, 41, 42 P
Kidneys, injuries to, 54 Pain
back, 6–7, 11
L flank, 1–2, 17–18
Lower limb compartment scrotal, 5–6
syndrome (LLCS), suprapubic, 5
148–150 Paraphimosis, 135–138
186 INDEX

Partial transection of ureter, Peritonitis, 18


primary closure of, 75 Periurethral abscess, 53
Pelvic fractures, 10, 83–92 Postoperative retention, 12
abdominal and pelvic Pregnancy
imaging in, 91–92 hydronephrosis of, 151–152
bladder injuries associated hypercalciuria of, 158
with, 89–90 JJ stents in, 156–158
closed-book, 85, 87, 88 presentation of stones in,
open-book, 85, 86 152–155
radiologic determination of radiation levels in,
stability in, 88–89 152–153
stable or unstable, 83–84 ureteric colic in, 151–159
Tile classification system of, Pregnancy test, 18
85 Priapism, 6, 132–134
types of, 84 causes, 132–133
urethral injuries and, 90–91 treatment, 133, 134
Pelvic imaging in pelvic Prostate
fractures, 91–92 high-riding, in pelvic
Pelvic prolapse, 10 fracture, 91
Pelvic stability, pelvic fracture transurethral resection of,
and, 84 see Transurethral
Pelviureteric junction resection of prostate
obstruction, emergency Prostate cancer, spinal cord
presentations (PUJO), 30, compression and,
32, 33 162–163
Penetrating renal injuries, 55 Radical Prostatectomy,
Penile amputation, 117 displaced urethral
Penile fracture, 118–121 catheters after, 148
Penile injuries, 117–118 Prostatic abscess, 49
Penile reimplantation, 117 Prostatic enlargement,
Penile zipper injuries, 121 benign, 9
Penis Prostatitis, acute bacterial,
fascial layers of, 111 48–49
foreign bodies attached to, Psoas hitch, ureteric injury
139 and, 77–80
Percutaneous Psoas hitch stitches, ureteric
nephrolithotomy, renal injury and, 79
haemorrhage after, 60–63 Pyelonephritis
Percutaneous nephrostomy, acute, 32–35
30, 31 emphysematous, 38–41
Percutaneous nephrostomy xanthogranulomatous,
insertion, 176–181 42–43
Perinephric abscess, 38 Pyonephrosis, 35, 36–37
INDEX 187

R Scrotal trauma, 117


Radiation levels in urinary Septicaemia, urinary, 45–48
tract imaging in Septic shock, 45
pregnancy, 152–153 Shock, 141
Rectal perforation, following due to blood loss, 141–142
pelvic fracture, 105 Spinal cord compression, 7
Recurrent urinary retention, with urological disease,
14–15 163–165
Renal colic, 17–18 Stones, see Ureteric stones
Renal emergencies, Straddle injury, anterior
nontraumatic, 17–43 urethral injury and, 109
Renal exploration, 60 Stuttering priapism, 132
Renal haemorrhage after Suprapubic catheterisation,
percutaneous 92–93, 112, 168–169
nephrolithotomy, 60–63 contraindications, 168–169
Renal imaging, intravenous indications, 168
urography for, 58–59 technique, 169
Renal infection, complicated, Suprapubic pain, 5
41–42 Systemic inflammatory
Renal injuries, 54–62 response syndrome
iatrogenic, 60–62 (SIRS), 45
imaging study of, 57
mechanisms and cause, T
54–57 Testicular appendages, 127
staging, 58 Testicular cancer, 160, 161
treatment for, 59–60 Testicular fixation, 130–131
Renal ultrasonography, Testicular injuries, 113–117
following renal trauma, Testicular rupture, 117
57 Testicular torsion, 5, 125–132
Retention volume, 13 differential diagnosis,
Retrograde cystogram, 93, 95 128–129
Retrograde ureterography, 69 in differential diagnosis, 52
Retrograde urethrogram, 93, 94 presentation, 128
scanning in, 129
S surgical management,
Sciatica, 11 129–132
Scrotal emergencies, 125–139 Testicular ultrasound,
Scrotal exploration, 129–130 115–116
Scrotal pain, 5–6 Testis, 125
Scrotal surgery, scrotal Tile classification system of
swelling after, 144 pelvic ring fractures, 85
Scrotal swelling, 114 Transureteroureterostomy, 80,
after scrotal surgery, 144 82
188 INDEX

Transurethral resection of Ureteropelvic junction


prostate (TURP), 10, obstruction (UPJO), 30,
45–46 32, 33
bladder perforation during, Ureteroscopy, ureteric injury
104–105 and, 64, 67
bleeding after, 146–147 Ureteroureterostomy, primary,
blocked catheter after, 170 75
Transurethral resection (TUR) Ureters
syndrome, 147–148 inspecting, 68
Tunica albuginea, rupture of, partial transection of,
118 primary closure of, 75
Tunica vaginalis, 125 vulnerable, 64
TURP, see Transurethral Urethra, anterior
resection of prostate complete rupture of, 113
partial rupture of, 112–113
U Urethral catheterisation, 12,
Ultrasonography, renal, 57 112, 167–168
Ureteric colic, 17–18 indications, 167
in pregnancy, 151–159 technique, 167–168
Ureteric contusions, 66 Urethral catheters, after
Ureteric injuries, 63–83 prostatectomy, 148
alternative procedures for Urethral contusion, anterior,
managing, 82–83 112
causes and mechanisms of, Urethral injuries
63–64 anterior, 109
delayed treatment for, 72 pelvic fractures and, 90–91
diagnosing, 64–69 posterior, 109
surgical techniques for Urethral rupture, bladder
repair of, 74 imaging in, 95–97
time for repair of, 69, 71 Urethral tears, 112
Ureteric obstruction, Urethrogram, retrograde, 93,
malignant, 160–163 94
Ureteric perforations, 66 Urinary retention, acute,
Ureteric stones 9–15
acute management of, Urinary septicaemia, 45–48
26–27 Urinary system, injuries to,
pain due to, 2 83–92
presentation of, in Urinary tract infection, 5
pregnancy, 152–155 Urinary tract obstruction, 4
size of, 27 Urine culture, 34
Ureterography, retrograde, 69 Urinoma, 66
Ureteroneocystostomy, Urological disease, spinal
following ureteric injury, cord compression with,
75–80 163–165
INDEX 189

Urological emergencies Urological neoplastic


common procedures for, conditions presenting as
167–181 urological emergencies,
infective, 45–53 160–165
lower urinary tract,
9–15 W
postoperative, 141–150 Wound dehiscence leading to
presenting symptoms of, burst abdomen, 145–146
1–7
scrotal and genital, X
125–139 Xanthogranulomatous
traumatic, 54–121 pyelonephritis, 42–43
urological neoplastic
conditions presenting as, Z
160–165 Zipper injuries, penile, 121