Urology classic words of the post well organized, simple classification after the release: Title Urologist —– Sewer Engineer Urologist doctor is not just a dick doctor Anatomy Kidney artery and renal pelvis relationship: on — down Winter (dynamic) season (quiet) to Taipei to see the rain! (Pelvis) Front — Back Surprise (Quiet) Move (Move) Fish (Pelvis) Xie Huawei, Department of Surgery, Bayi Children’s Hospital Affiliated to the General Hospital of the Beijing Military Region The renal peritoneum is a song and dance Fiber-lined fat coat, fascial outer covering is thick and firm. Relationship between uterine artery and ureter: water flowing under a small bridge Water flowing under a bridge Tumor – intermittent, painless, throughout, hematuria of the naked eye Adrenal glands: high blood pressure, red face, adequate urine output, joyful mood! This is what our mentors after adrenalectomy for cortisolism tell us patients should do. If not, watch out for adrenal crisis! There are 4 10% adrenal pheochromocytomas 10% malignant, 10% bilateral, 10% recurrent, 10% ectopic Testicles, epididymis: 99% of testicular tumors are malignant and 99% of epididymal tumors are benign. Testicular tumors are routinely photographed with lumbar CT Prostate cancer: older men Functioning testes (etiology) Urinary tuberculosis: painless hematuria plus sterile pyuria = renal tuberculosis Regarding renal tuberculosis: pathologic manifestations of the kidney (tuberculous foci); clinical signs of the bladder (bladder irritation); and external signs of the epididymis (epididymal nodules). Tuberculosis of one side of the kidney, hydronephrosis of the opposite side (Wu Jieping) Kidney is a mute, bladder is a trumpet (Ma Yongjiang) Urinary calculi: The flow of water does not match, the door is not worm-eaten~! Hold your urine less, drink more water! Go back and drink more water! Drink more water and urinate more often. The first thing you need to do is to prevent the stones from catching a cold. Ultrasound says there is a stone does not necessarily have a stone X-ray says there is no stone does not necessarily not have a stone The ureter is a ditch, the renal pelvis is a pool. The ureter is a ditch and the renal pelvis is a pool. Throwing a few stones in the ditch will clog it up, but a few stones in the pool is not a big problem. Kidney stone patients may not be in pain if they have large stones, and the stones may be small if they are in pain. Stone patients do not hurt, does not mean that the disease is cured. Big stones are big dogs, see people not barking, around suddenly may bite you a mouth Small stones are small dogs, see people barking non-stop, but it will not give you a mouth. Small stones should jump more and drink more water! Principle of percutaneous nephrolithotomy dilatation: master the direction Prefer shallow to deep! PCNL puncture must penetrate into the renal pelvis through the renal calyx, no matter that calyx, no matter whether the calyx is big or small, do not penetrate into the very pelvis through the renal column, otherwise it will be easy to bleed, and beginners should be more so. Prostatic hyperplasia Progressive urination difficulty for N years Urine urinary inability to urinate for three days To mild prostatic hyperplasia patients: is a man prostate will be large Prostate surgery is aimed at lifting the obstruction, urinary frequency symptoms can not necessarily be resolved! The prostate electrocution is like a watermelon pulling out the flesh, the shell is still there, the electrocution process is like plowing, the hyperplasia of the gland to be flattened —– explaining the condition of the patient Prostatitis, bladder irritation symptoms Frequent urination Urinary urgency Urinary pain Prostatitis does not want the patient’s life, but will take the life of the doctor Prostatitis press: left three, right three, and then in the middle of the two. Don’t eat spicy stimulating food, such as don’t eat chili, don’t drink alcohol, don’t ride a bicycle Urethral stenosis Urethral dilatation = through the lower water Urethral stenosis look at the urethroscope, remember: the small way is the real urethra, the big way is a false way, in front of the real urethra, the back of the false way Hydrocele Pediatric Urological Pre-operative to the family members of the children to explain: postoperative review ultrasound there will still be a hydrocele, but as long as the ureter is smooth and the gradual thickening of renal cortex, it does not matter when the time will be Said: the waist is like a balloon that has been enlarged, it is impossible to return to normal size even if the air is released. Easy to understand Check Take off your pants and I’ll take a look!!!! Take off your pants, get into bed, relax, does it hurt – standard language for cystoscopists Cystoscopy, say to the patient: lie down on the bed, spread your legs wide (in the truncated position), relax and don’t pinch your asshole (meaning let the patient’s muscles relax), good! Going in (into the scope), does it hurt? Treatment Kidney failure oliguria water electrolyte changes: 3 high, 3 low, 3 poisoning 3 high: potassium magnesium phosphorus 3 low: sodium chloride calcium (due to potassium magnesium parallel, sodium chloride parallel, as long as you remember the high phosphorus and low calcium can be) 3 poisoning: water, acid, nitrogen Kidney failure rehydration mnemonic amount of out for in, correcting the acid to replenish the calcium to see the urine to replenish the potassium to see the salt after sugar After the renal transplantation of the patient, would rather rejection, do not get infected! (Emphasize the danger of infection after kidney transplantation, rejection generally does not kill people, heavy infection once the mortality rate is very high, then even the opportunity to cut the kidney) Bullshit (egg) —– cryptorchid descent fixation Hypospadias surgery – repair of the gun (repair of the small gun) Hypospadias- -Opening the sewer Reproducible mass in the left/right inguinal area for N years – Inguinal hernia