3) Urological trends in men Flashcards
What is phimosis?
Foreskin/prepuce can’t be fully retracted in adult
What is the incidence of phimosis?
1% adult non-circumcised population
What is Physiological phimosis?
Normal non-retractability up to adolescence
- 50% at 1 yr
- 10% at 3 yrs
- 1% at 17 yrs
Some causes of phimosis
- Poor hygeine- STDs and UTIs
- Pain on intercourse, splitting, bleeding
- Balanitis
- Posthitits
- Balanitis xerotica oliterans (BXO)
- Paraphimosis
- Urinary retention
- Penile cancer
What is balanitis?
inflamed glans
What is posthitis?
Inflamed foreskin/prepuce
What is balanitis xerotica oliterans?
long term (chronic) inflammation of the glans penis; referred to as balanitis. Patches (called lesions) appear on the affected skin causing an abnormally dry appearance (referred to as xerotica) with white, thickened plaques
What is paraphimosis?
The painful constriction of the glans penis by the retracted prepuce proximal to the corona
What are the commonest causes for Paraphimosis?
Phimosis
Catheterisation (esp. Elderly)
Penile cancer
What is Phimosis?
– In adulthood may be associated with other pathologies
– Beware the elderly man with a phimosis and ‘balanitis’
– Circumcision is probably the best treatment
How do you treat paraphimosis?
– Needs reduction
* This is usually achieved manually
* Occasionally dorsal slit may be necessary
What is Penile cancer - Squamous cell carcinoma (SCC)?
- c.
