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Glossary
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Absorbent Products:
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Pads and garments, disposable or reusable, worn to absorb leaked urine. Absorbent products include shields, undergarment pads, combination pad-pant systems, diaperlike garments, and bed pads.
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Androgen:
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A male hormone. These hormones stimulate male characteristics.
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Anemia:
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A condition in which the blood is deficient in red blood cells, in hemoglobin, or in total volume.
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Anuria:
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Abnormal state when no urine is being produced.
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Artificial Urinary Sphincter (AUS):
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Sometimes complicated cases of incontinence require implantation of a device known as an artificial urinary sphincter. People who might benefit from this treatment include those who are incontinent after surgery for prostate cancer or stress incontinence, trauma victims and people with congenital defects in the urinary system. The artificial sphincter has three components, including a pump, balloon reservoir, and a cuff that encircles the urethra and prevents urine from leaking out. The cuff is connected to the pump, which is surgically implanted in the scrotum (in men) or labia (in women). The pump can be activated (usually by squeezing or pressing a button) to deflate the cuff and permit the bladder to empty. After a brief interval, the cuff refills itself and the urethra is again closed. Because the artificial sphincter is an implant, it is subject to the risks common to implants, such as infection, erosion (breaking down of tissue) and mechanical malfunction. Yet with appropriate pre-surgical evaluation, operative techniques and postoperative follow-up, many problems can be avoided and incontinent patients can experience an improved quality of life with this device.
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Assisted Reproductive Technologies (ART):
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The new forms of fertility treatment incorporate many methods of sperm retrieval and preparation. Once the sperm have been processed to ensure optimal fertilizing potential, they are used in a variety of procedures that aid the process of conception. These procedures include artificial insemination (AI), in vitro fertilization (IVF), and sperm microinjection techniques.
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Autologous:
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Derived from the same individual.
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Balanoposthitis:
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Inflammation of the glans penis and foreskin.
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Behavioral Techniques:
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Different methods to help "retrain" the bladder and get rid of the urgency to urinate. (see biofeedback, bladder training, electrical stimulation, habit training, pelvic muscle exercises, prompted voiding).
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Benign Prostatic Hyperplasia:
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A condition in which the prostate becomes enlarged as part of the aging process.
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Benign Tumor:
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A tumor that is not cancerous
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Bilateral:
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A term describing a condition that affects both sides of the body or two paired organs, such as kidneys.
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Biofeedback:
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A procedure that uses electrodes to help people gain awareness and control of their pelvic muscles.
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Biopsy:
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To remove a small bit of tissue for examination by a pathologist.
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Bladder:
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A hollow muscular balloon shaped organ that stores urine until it is excreted from the body.
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Bladder Training:
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A behavioral technique that teaches the patient to resist or inhibit the urge to urinate, and to urinate according to a schedule rather than urinating at the urge.
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Bone scan:
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A nuclear medicine study commonly ordered to evaluate and monitor prostate cancer.
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Brachytherapy:
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Involves the placement of tiny radioactive pellets into the Prostate gland. By utilizing ultrasound to place the seed pellets, damage to surrounding tissues is minimized. Approximately 13,500-16,000 rads of radiation energy is delivered directly to the Prostate. This procedure is performed on an outpatient basis. It is a one time procedure with very effective results. The 10-year follow-up outcome data parallels that of Radical Prostatectomy.
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Calculus:
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An abnormal concretion, usually composed of mineral salts, occurring within the body.
These can be present in the kidneys, ureters, bladder, or prostate.
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Catheter:
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A tube passed through the body for draining fluids or injecting them into body cavities. It may be made of elastic, elastic web, rubber, glass, metal, or plastic.
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Catheterization:
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Insertion of a slender tube through the urethra or through the anterior abdominal wall into the bladder, urinary reservoir, or urinary conduit to allow urine drainage.
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Circumcision:
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Removal or excision of the skin covering the glans penis.
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Colon:
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The large intestine.
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Corpora Cavernosa:
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Two chambers in the penis which run the length of the organ and are filled with spongy tissue. Blood flows in and fills the open spaces in the spongy tissue to create an erection.
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Creatinine:
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A waste product that is filtered from the blood by the kidneys and expelled in urine.
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Cryotherapy:
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During an operation probes are placed in the prostate. The probes are then frozen which kills the prostatic cells.
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Cyst:
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A lump filled with either fluid or soft material, occurring in any organ or tissue; may occur for a number of reasons but is usually harmless unless its presence disrupts organ or tissue function.
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Cystectomy:
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Surgical removal of the bladder.
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Cystitis:
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Infection or inflammation of the bladder.
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Cystocele:
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A herniation of bladder into vagina
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Cystoscopy:
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Direct examination of the inside of the bladder.
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Detrusor-External Sphincter Dyssynergia (DESD):
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Damage to the nervous system can create a lack of coordination between the bladder and the external sphincter muscle, which is the muscle that controls the emptying of the bladder. As a result the bladder cannot empty completely which creates a buildup of urinary pressure. DESD is a combination of these two factors and can lead to severe urinary tract damage and life-threatening consequences.
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Diabetes Mellitus:
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A common form of diabetes in which the body cannot properly store or use glucose (sugar), the body's main source of energy.
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Diuretic:
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A drug that increases the amount of water in the urine, removing excess water from the body; used in treating high blood pressure and fluid retention
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Diverticulum:
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A sac or pouch in the walls of a canal or organ.
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Ejaculation:
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Ejection of semen during male orgasm.
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Ejaculation, retrograde:
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The discharge of semen into the bladder rather than through the urethra and out of the body.
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Electrohydraulic Lithotripsy (EHL):
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This technique uses a special probe to break up small stones with shock waves generated by electricity. Through a flexible ureteroscope, the physician positions the tip of the probe 1 mm from the stone. Then, by means of a foot switch, the physician projects electrically generated hydraulic shock waves through an irrigating fluid at the stone until it is broken into small fragments. These can be passed by the patient or removed through the previously described extraction methods. EHL has some limitations: It requires general anesthesia, and is generally not used in close proximity to the kidney itself, as the shock waves can cause tissue damage. Fragments produced by the hydraulic shock also tend to scatter widely, making retrieval or extraction more difficult.
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Enterocele:
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Herniation of small bowel into vagina
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Enuresis:
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Involuntary discharge of urine; usually referring to involuntary discharge of urine during sleep at night.
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Epididymis:
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Structure of coiled tubes behind the testes that allows sperm to mature and then proceed to the
vas deferens.
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Epididymitis:
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Infection or inflammation of the epididymis.
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Estrogen:
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Hormones responsible for the development of female sex characteristics; produced by the ovary.
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External beam radiation therapy:
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A 25-28 treatment protocol that utilizes External Beam Radiation. Approximately 6800-7400 rads of radiation energy is delivered to the Prostate. There can be some radiation effect on surrounding tissues.
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Extracorporeal shock wave lithotripsy (ESWL):
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Extracorporeal shock wave lithotripsy uses highly focused impulses projected from outside the body to pulverize kidney stones.
habit training: A behavioral technique that calls for scheduled toileting at regular intervals on a planned basis. Unlike bladder training, there is no systematic effort to motivate the patient to delay voiding and resist urge.
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Glans penis:
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The cap-shaped expansion at the end of the penis.
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Gonads:
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A gamete-producing gland - an ovary or testicle.
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Hematuria:
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The presence of blood in the urine, either visible to the eye or under the microscope.
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Hormonal therapy:
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Involves the use of anti-androgens. An androgen is a male hormone needed for the production of testosterone. By depriving the cancer cells of the testosterone they need for growth, tumors regress in size and cellular activity. Side effects include gynecomastia, the enlargement of breast tissue, hot flashes, and loss of libido ( desire to have sex ). Some long term hormonal therapy is associated with the loss of muscle mass, osteoporosis, and malaise ( loss of energy ).
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Hydrocele:
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A painless swelling of the scrotum, caused by a collection of fluid around the testicle; commonly occurs in middle-aged men.
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Hydronephrosis:
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Dilation or enlargement of the kidney.
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Hypermobility:
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A condition characterized in which the pelvic floor muscles can no longer provide the necessary support to the urethra and bladder neck. As a result, the bladder neck drops when any downward pressure is applied and causing involuntary leakage. This condition is the most common cause of stress urinary incontinence.
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Hyperplasia:
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Excessive growth of normal cells of an organ.
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Hypospadius:
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Condition in which the urethra opens on the underside of the penis instead of opening at the end
of the penis.
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Impotence:
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The inability to obtain or sustain an erection of the penis adequate for intercourse.
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Incontinence:
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Inability to control the flow of urine.
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Infertility:
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The inability or diminished ability to produce a pregnancy.
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Insemination:
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The placement of semen into a woman's uterus, cervix, or vagina.
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InterStim continence control therapy:
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A therapy used in treating urge incontinence. A device, about the size of a pacemaker, that is implanted into the sacral nerves of the lower spine, where it delivers electrical impulses that help regulate bladder function.
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Intrinsic sphincter deficiency (ISD):
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Weakening of the urethra sphincter muscles. As a result of this weakening the sphincter does not function normally regardless of the position of the bladder neck or urethra. This condition is a common cause of stress urinary incontinence.
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Irritable bladder:
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Involuntary contractions of muscles in the bladder, which can cause lack of control of urination.
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Kegel exercises:
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Exercises to strengthen the muscles of the pelvic floor, which leads to more control and prevents leakage.
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Kidney:
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One of a pair of organs located at the back of the abdominal cavity. Kidneys make urine through blood filtration.
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Kidney stone:
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A kidney stone is composed of substances from the urine that form in the kidneys.
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Laparoscopy:
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Surgery using an laparoscope to visualize internal organ through a small incision. Generally less invasive than traditional surgeries requiring a shorter recovery period.
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Lithotripsy:
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A procedure done to break up stones in the urinary tract using ultrasonic shock waves, so that the fragments can be easily passed from the body.
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Menopause:
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The period that marks the permanent cessation of menstrual activity, usually occurring between the ages of 40 and 58.
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Metastasis:
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The spreading of a cancerous tumor to another part of the body.
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Microwave (Targis):
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A catheter is placed within the bladder and positioned within the prostate, then the antenna emits microwaves. This procedure increases the passageway allowing for easier urination.
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Mixed incontinence:
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Having both stress and urge incontinence.
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Nephrectomy
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Removal of an entire kidney.
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Open Nephrolithotomy:
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An open nephrolithotomy is the most invasive procedure for removing kidney stones. Because it is so traumatic, most kidneys can withstand no more than two such operations. Deep anesthesia is required, after which the surgeon makes a large (10-20 centimeter) incision in the patient's back or abdomen, depending upon where the stone is located. Either the ureter or the kidney is opened and the stone extracted. Most patients require prolonged hospitalization afterward and recovery may take up to two months.
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Orchiectomy:
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Removal of the testicle, either one or both.
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Orchiopexy:
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Operation done for correction of an undescended testicle.
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Orchitis:
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Inflammation of a testicle.
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Overactive bladder:
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A condition characterized by involuntary bladder muscle contractions during the bladder filling phase which the patient cannot suppress.
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Overflow urinary incontinence:
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Leakage of small amounts of urine from a bladder that is always full.
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Pelvic muscle exercises:
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Pelvic muscle exercises are intended to improve your pelvic muscle tone and prevent leakage for sufferers of Stress Urinary Incontinence. Also called Kegel exercises. (see biofeedback)
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Percutaneous nephrolithotomy :
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Percutaneous means "though the skin." In this procedure, the surgeon or urologist makes a 1-centimeter incision under local anesthesia in the patient's side, through which an instrument called a nephroscope is passed directly into the kidney and, if necessary, the ureter. Smaller stones may be manually extracted. Large ones may need to be broken up with ultrasonic, electrohydraulic or laser- tipped probes before they can be extracted. A tube may be inserted into the kidney for drainage.
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Periurethral bulking injections:
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A surgical procedure in which injected implants are used to "bulk up" the area around the neck of the bladder allowing it to resist increases in abdominal pressure which can push down on the bladder and cause leakage.
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Peyronie's Disease:
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Fibrosis or scarring in the shaft of the penis.
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Phimosis:
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Condition in which the skin covering the glans penis cannot be retracted.
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Post-void residual (PVR) volume:
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A diagnostic test which measures how much urine remains in the bladder after urination. Specific measurement of PVR volume can be accomplished by catheterization, pelvic ultrasound, radiography, or radioisotope studies.
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Prostaglandin:
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Any of various oxygenated unsaturated cyclic fatty acids of animals that have a variety of hormonelike actions (as in controlling blood pressure or smooth muscle contraction).
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Prostate:
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A muscular, walnut-sized gland that surrounds part of the urethra. It secretes seminal fluid, a milky substance that combines with sperm (produced in the testicles) to form semen.
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Prostatectomy:
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Surgical removal of the prostate.
Radical retropubic prostatectomy: Removal of prostate through an abdominal incision. The prostate is completely removed. The advantage is that the lymph nodes can be sampled at the time of the operation and the nerve-sparing procedure is easier to do via this operation.
Perineal prostatectomy: A Perineal incision is utilized. The advantages are: less blood loss, easier visualization of the bladder / urethral anastomosis and decreased recovery time because the incision does not involve muscle or any other vital tissue
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Prostatitis:
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Infection or inflammation of the prostate gland.
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Prostatron:
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Also called TUMT or Transurethral Microwave Thermotherapy. A catheter is placed within the bladder and positioned within the prostate, then the antenna emits microwaves. This procedure increases the passageway allowing for easier urination.
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PSA (prostate specific antigen) Test:
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A PSA test is a blood test to help in the early detection of prostate cancer. PSA, an ingredient of semen, is made by the prostate. Some PSA naturally leaks from the prostate into the bloodstream. The PSA test measures the amount of PSA in the blood. As a man ages, more PSA leaks into the blood. Problems with the prostate such as prostate infection, BPH, or cancer may cause extra PSA to enter the blood. If a PSA test shows an abnormal result, other tests are necessary to help determine the cause of the increase.
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Pubovaginal sling:
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A surgical procedure in which a man-made or cadaveric piece of material is placed under the bladder neck to support and immobilize. This technique improves sphincter function and decreases bladder neck movement, improving continence.
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Pyelonephritis:
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Inflammation of the kidney, usually due to a bacterial infection.
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Pyuria:
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The presence of pus in the urine; usually an indication of kidney or urinary tract infection.
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Rectocele :
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A herniation of rectum into vagina
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Scrotum:
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Skin covered pouch containing the testicles.
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Semen:
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Reproductive fluid containing sperm, fluid formed in the seminal vesicles and fluid produced by the
prostate gland.
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Semen analysis:
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A laboratory test to evaluate the number of sperm present, their movement and shape.
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Sexually transmitted disease (STD):
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Infections that are most commonly spread through sexual intercourse or genital contact.
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Sling Procedure:
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A sling is a procedure used to stabilize the bladder neck and provide support for the urethra using autologous or synthetic sling material. This procedure treats both hypermobility and ISD.
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Spermatocele:
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Cystic mass at the upper pole of the testicle containing sperm.
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Sphincter:
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A ring of muscle fibers located around an opening in the body that regulates the passage of substances.
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Stress test:
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A diagnostic test that requires patients to lift something or perform an exercise to determines if there is urine loss when stress is placed on bladder muscles.
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Stress urinary incontinence:
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Urinary Incontinence: The involuntary loss of urine during period of increased abdominal pressure. Such events include laughing, sneezing, coughing or lifting heavy objects.
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Testicle:
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Organ producing sperm and male hormone.
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Testosterone:
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The sex hormone that stimulates development of male sex characteristics and bone and muscle growth; produced by the testicles and in small amounts by the ovaries.
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Torsion :
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Condition in which the testicle becomes twisted thereby obstructing the blood flow through the
spermatic cord to the testicle.
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Transient urinary incontinence:
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Temporary episodes of urinary incontinence that are gone when the cause of the episode is identified and treated, such as a bladder infection.
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TUMT:
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Transurethral Microwave Thermotherapy. A flexible catheter is inserted into the urethra. A special antenna inside the catheter targets the enlarged tissue and eliminates it, while protecting the healthy tissue nearby. This procedure is also known as cooled thermotherapy.
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TURP (transurethral resection of the prostate):
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A surgical telescope is used to core out the inside of the prostate (urethra) creating a larger channel making the passage of urine easier. This is the gold standard for treatment of BPH.
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Ultrasonic lithotripsy :
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Similar to ureteroscopy, ultrasonic lithotripsy uses an optical scope and electronic probe, inserted into the ureter under epidural (spinal) anesthesia, to locate the stone. High-frequency ultrasound waves then are directed at the stone to break it up gradually. The fragments can either be passed naturally by the patient or removed by grasping forceps, basket extraction or suction through the scope instrument. The instrument is not flexible, however, so ultrasonic lithotripsy typically can be employed only when a straight path directly from outside the body to the stone is possible.
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Underactive bladder:
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A condition characterized by a bladder contraction of inadequate magnitude and/or duration to effect bladder emptying in a normal timespan. This condition can be caused by drugs, fecal impaction, and neurologic conditions such as Diabetic neuropathy or low spinal cord injury or as a result of radical pelvic surgery. It also can result from a weakening of the detrusor muscle from vitamin B12 deficiency or idiopathic causes. Bladder underactivity may cause overdistension of the bladder, resulting in overflow incontinence (see overflow incontinence).
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Ureter:
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Hollow muscular tube lined with transitional cells which transports urine from the kidney
to the bladder.
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Ureteroscopy:
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A flexible, fiberoptic instrument resembling a long, thin telescope is inserted through the urethra and bladder up to the ureter to visualize the tube. Often used for retrieval of kidney stones.
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Urethra:
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Hollow tube through which urine passes from the bladder to the outside.
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Urethritis:
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Infection of the lining of the urethra.
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Urge incontinence:
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The involuntary loss of urine associated with a sudden and strong urge to void (urgency).
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Urge/urgency:
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A strong desire to void.
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Urinalysis:
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A group of physical and chemical tests done on a sample of urine to check for various disorders, including those of the kidneys and urinary tract.
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Urinary incontinence (UI):
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Involuntary loss of urine sufficient to be a problem. There are several types of Ul, but all are characterized by an inability to restrain voiding.
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Urinary tract infections (UTIs):
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UTIs are caused by bacteria that invade the urinary system and multiply, leading to an infection.
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Urodynamic tests:
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Diagnostic tests to examine the bladder and urethral sphincter function.
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Varicocele:
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A varicocele is an enlarged vein within the cord above the testicle.
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Varicocele embolization:
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An outpatient procedure in which the varicocele is closed off (occluded) by means of a balloon catheter (flexible tube with a tiny detachable balloon), steel coil, and/or sclerosing (vessel-hardening) solution.
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Varicocelectomy:
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The cutting away of a varicocele.
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Vas deferens:
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Hollow tubular structure which transports sperm from the testicle to the seminal vesicles.
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Vasectomy:
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Surgical procedure done for sterilization in which a short segment of the vas deferens is removed and
both ends tied or clipped.
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Vasoepididymostomy:
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A microsurgical procedure that uses a microscopic camera and very small operative tools to correct obstructions in the genital tract. The procedure requires removal of the blockage in the epididymis (the coiled tube that extends the length of each testis and connects with a larger duct - the vas deferens) and re-attachment of the epididymis to the vas deferens.
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Vasovasostomy:
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Vasovasostomy is a vasectomy reversal, the re-connection of the severed ends of the vas deferens restoring the flow of sperm through the vas deferens.
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