HTHSCI 2F03 Lecture Notes - Lecture 12: Genetic Testing, Peritoneum, The Royal Marsden Nhs Foundation Trust
26 Dec 2020
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Swollen / boggy / tender prostate on pr. Urge incontinence or dribbling may result from. Retention may overflow (palpable bladder after partial retention. voiding) Turp and pelvic surgery may weaken external urethral sphincter. Leakage from incompetent sphincter when iap . Loss of small amounts of urine when coughing. Can"t hold urine for any length of time. May have precipitant: arriving home, running water, coffee. Palpable bladder after voiding: retention c overflow. Commoner in prems: incidence up to 30% Testes remain in abdomen (retroperitoneal) until 7mo. Gubernaculum connects inferior pole of testis to scrotum. Testis descends through inguinal canal to scrotum c an out-pouching of peritoneum: processus vaginalis. Testicle often found at external inguinal ring. Found anywhere along normal path of descent. Usually in sup. inguinal pouch (ant. to external oblique aponeurosis) 10x risk of malignancy (remains after surgery) Assoc. c hernias (90%) or urinary tract abnormalities.
