Urology Nephrology

Article Article

Following on from our first two series of contributions on the research paper ans the oral presentation, we would now like to focus on various médical specialities in the form of case reports. Again, our aim is not to teach médicine but to familiarize readers with medical English as used by professionals and pateints. In this first English corner, you will find a contribution dealing with urology, ans more precisely prostate cancer.

Urology Nephrology

LEXIQUE
A few specific words and expressions
Pass urine/water - uriner
Emptying the urinary bladder -  évacuation de la vessie
Erectile dysfunction - trouble de l'érection
The urinary tract - le tractus urinaire/ les voies urinaires
Urgency - urgence urinaire / urgenterie/ miction impérieuse
Abdominal swelling/bloating -  gonflement abdominal/ballonnnement
Urinary tract obstruction -  obstruction des voies urinaires
Failure to void urine -  incapacité d'évacuer l'urine
Low back pain - lombalgie
Renal pelvis - bassinet
Cloudy urine - urine trouble
Blood-tinged urine - urine teintée de sang
Dehydration - déshydratation
(Digital) rectal examination - toucher rectal
Dipstick test/urinary dip -  bandelette urinaire
Urinalysis - analyse d'urine
Mid-stream urinalysis/mid-stream urine - échantillon permictionnel/mi-jet
Urine sample - échantillon d'urine
Blood electrolytes - ionogramme sanguin
Plain film of the abdomen -  abdomen sans préparation (ASP)
Urinary tract infection - infection urinaire
Benign prostatic hyperplasia/hypertrophy - hypertrophie bénigne de la prostate
Bladder outlet obstruction -  obstacle à la vidange vésicale
Renal colic- coliques néphrétiques
Renal lithiasis/calculus (pl. calculi)/ stone - lithiase rénale/calcul
Prostatitis - prostatite
Prostate cancer - cancer de la prostate
Renal insufficiency/kidney failure - insuffisance rénale
Urinary catheter - sonde urinaire

Consultation with a urologist
Dr Last.  Come in and sit down.
Mr. Grove. Good morning, Doctor. My G.P.  said I should come and see you because I’ve been having trouble passing water.
Dr. Last. Good morning, Mr Grove. Can I just check a few details with you? It says on the referral letter that you’re 65 years old and a retired postman; you don’t smoke and the only treatment you’re taking is for hypertension. Is that correct?
Mr. Grove. Yes, that’s right.
Dr. Last. Good! So, Mr Grove,  how long have you had this problem?
Mr. Grove. Well it started a few months  ago and it’s been getting worse and worse. Now, I have to get up to go to the loo half a dozen times every night, and I really have to strain to pee, and hardly anything comes  out. It’s becoming very annoying what  with the sleepless nights and everything.
Dr. Last. Tell me, have you ever seen any blood in your urine?
Mr. Grove. No, not that I’ve noticed.
Dr. Last. And do you feel any pain or a burning sensation when you pass water?
Mr. Grove. No, not at all.
Dr. Last. What about your general health,  Mr. Grove. Have you lost any weight recently  or do you feel weak or tired?
Mr. Grove. Well, I try to keep fit. You know,  I do quite a lot of walking and go cycling from time to time. My weight’s been pretty steady, but I do feel tired though, probably because  of the sleepless nights.
Dr. Last. Right, Mr Grove, Have you brought your urine sample? Thank you. Now, I’m just going to check your vital signs and then I’ll have to do a digital rectal examination to check your prostate.
Mr. Grove. OK doctor, go ahead.
Dr. Last. Your urine sample was normal. The dipstick test was OK. Your temperature, blood pressure and heart rate were fine too. There was nothing unusual on the palpation either. I’m now going to do the DRE. Could you take off your trousers and underpants, please? Thank you. And could I ask you to lie on your back and hold your right knee up against your chest. I’m going to insert my finger into your back passage and I’d like you to tell me if it hurts or not.
Mr. Grove. Ouch! That’s quite painful.
Dr. Last. Don’t worry, I’ve almost finished. That’s it, you can get dressed now, Mr. Grove. Everything seems to be normal except for your prostate, which is enlarged, and there are a few nodules on the right side.
Mr. Grove. Is it serious, doctor?
Dr. Last. Not necessarily. We’ll have to do a blood test, and then you’ll have to go into hospital as an outpatient for a biopsy to see  if the nodules are benign or not. If you go and see my secretary, she’ll make an appointment for you – we’ll try to get one for next week.  And once we have all the results we can  meet again to talk about the problem  and discuss the treatment options.
Mr. Grove.  Thank you Doctor Last.

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