ABU URPS case studies
ABU URPS · Put your knowledge to work in context.
The American Board of Urology Recertification Examination - also referred to as the ABU Knowledge Assessment or Lifelong Learning Examination - is the continuing-certification instrument for urologists who already hold ABU certification and are maintaining it through the board's lifelong learning pathway. It is a knowledge-maintenance assessment for practicing surgeons, not an entry-level qualifying exam, so questions assume a working command of clinical urology rather than teaching it from the ground up. The ABU URPS case studies are 5 cases and about 2,277 words.
1Post-BCG Maintenance Cystoscopy: Interpreting a Subtle Lesion
A 68-year-old man with a 40-pack-year smoking history was diagnosed 14 months ago with a 2.5 cm high-grade Ta urothelial carcinoma of the right lateral wall. He underwent complete TURBT with muscularis propria in the specimen, followed by induction intravesical BCG (6 instillations) and two maintenance cycles.
487 words, about 2 min2Staghorn Calculus with Declining Renal Function: Sequencing the Intervention
A 52-year-old woman with recurrent struvite stones presents with a 4.5 cm left staghorn calculus, a creatinine of 1.6 mg/dL (baseline 0.9), and a serum potassium of 5.6 mEq/L. She has had two prior episodes of pyelonephritis in the last year and a history of a ureteropelvic junction obstruction treated with pyeloplasty 8 years ago.
423 words, about 2 min3Post-Prostatectomy Incontinence: Which Operation for Which Sphincter
A 66-year-old man is 18 months post robot-assisted radical prostatectomy. He uses 5 pads per day and leaks with minimal activity and on standing.
482 words, about 2 min4Antenatal Hydronephrosis: When to Image, When to Operate
A 3-month-old boy is referred after antenatal ultrasound showed left hydronephrosis (anteroposterior renal pelvis diameter 14 mm at 32 weeks). Postnatal ultrasound at 7 days showed SFU grade 3 left hydronephrosis with a normal right kidney and a thickened renal pelvis.
457 words, about 2 min5Urethral Stricture After Pelvic Fracture: Reconstruction Timing and Approach
A 34-year-old man was in a motorcycle crash 5 months ago with a pelvic ring fracture and a straddle injury. He was managed initially with a suprapubic catheter and a trial of urethral catheterization that failed.
428 words, about 2 min