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U R O L O G Y I N S I G H T S

FCPS THEORY EXAM PREPARATION
(session starting from 25th NOV 2025)

FCPS CLINICAL EXAM PREPARATION
(started from 5th AUG 2025; ongoing)

Contact: 03230232880
Dr. Zohaib Zafar (Dr. ZZ)
Consultant Urologist
fb.com/xebi.khan

12/09/2025

TOACS Station: PE**LE FRACTURE
...........

1. History (2.5 marks)

Mechanism of injury (intercourse/masturbation/trauma) ... 0.5

Sudden snap/pop sound + severe pain ... 0.5

Immediate detumescence (loss of er****on) ... 0.5

Swelling / discoloration / deformity ... 0.5

Urinary history (hematuria, retention, blood at meatus) ... 0.5
...........

2. Examination (1.5 marks)

Describes “eggplant deformity” ... 0.5

Notes hematoma & tenderness / tunical defect on palpation ... 0.5

Actively checks for urethral injury (blood at meatus) ... 0.5
............

3. Diagnosis & Differentials (1 marks)

Correctly diagnoses Pe**le fracture (rupture of tunica albuginea) ... 0.5

Mentions differential (dorsal vein rupture / pe**le hematoma) ... 0.5
..........

4. Management (3 marks)

States need for urgent surgical exploration & repair ... 1

Mentions urethral evaluation/repair if injured ... 1

Mentions supportive care (antibiotics, analgesia, catheter, anti-er****on measures) ... 1
.............

5. Patient Counseling (2 marks)

Explains prognosis (good outcomes with early surgery) ... 1

Mentions complications (erectile dysfunction, pe**le curvature, painful er****ons, urethral stricture) ... 1
..........

6. Communication & Professionalism (Bonus 0–1 mark)

Introduces self, ensures privacy, addresses patient’s concern about future sexual function.
.........
Total = 10 marks

12/09/2025

Management algorithm for renal angiomyolipoma (AML)...

RCC, Renal cell carcinoma; TSC, tuberous sclerosis complex; US, ultrasound

12/09/2025

Treatment of the Primary Pe**le Tumor

Campbell Urology 13th edition

12/09/2025

Vesical Imaging Reporting and Data System (VI-RADS) Score System

[Campbell Urology 13th edition]

12/09/2025

FOLLOW UP OF UROLITHIASIS AFTER TREATMENT

Stone free = No stone fragments on postoperative imaging (i.e. no stone fragments on CT/KUB/US).

High-Risk = Known biochemical abnormality (i.e.: hypercalciuria, hypocitraturia, hyperuricosuria, RTA, or high-risk stone type such as struvite.

Imaging = plain film KUB &/or kidney ultrasonography (KUS) based on clinicians’ preference and stone characteristics. Consider CT if the patient is symptomatic or if intervention is planned.

12/09/2025

EAU risk groups for biochemical recurrence of localised and locally-advanced prostate cancer (based on systematic biopsy)...

EAU RISK GROUP CLASSIFICATION, which is essentially based on D’Amico’s classification system for PCa, combines clinical information on tumour extent, PSA and pathology from systematic biopsy.

The NCCN Guidelines subdivide intermediate-risk disease into favourable and unfavourable intermediate-risk, with unfavourable features including ISUP GG 3, and/or ≥ 50% positive systematic biopsy cores and/or at least two intermediate-risk factors.

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