abnormalities of the penis, scrotum, and testes Flashcards
what is a common cause for balanitits and balanoposthitis?
candida albicans
what structural abnormality can cause balanitits and balanoposthitis?
phimosis
what cancer is assoicated w/ phimosis?
squamous cell carcinoma
what is phimosis?
foreskin can’t be retracted over glans
what to consider if someone has pain or tenderness of foreskin and chronic yeast infections?
phmosis
what is the treatment for phimosis?
broad spectrum abx ;
and
potentially circumcision after infection has been eradicated
what is paraphimosis and what what must you remember?
retracted foreskin behind glans penis in uncircumcised person, and it and EMERGENCY
What is the first line treatment for paraphimosis?
manual reduction IF SUCCESSFUL REFER TO UROLOGY FOR CIRCUMCISION
squeezing glans for 5 min then draw foreskin over glans
what do you do if a manual reduction for paraphimosis is unsuccessful?
immediate referral
what is the MC abnormal congenital malformation?
abnormal location of the urethral meatus
which urethal meatus malformation has a worse prognosis?
epispadia
what is a chordee?
vental curvature of penis, from short urethra or fibrous tissue around corpus spongiosum, associated w/ HYPOSPADIAS
What is deformed in peyronies?
fibrous disorder of the tunica albuginea
what is an acquired malformation from minor penile trauma?
peyronie’s disease
patient presents w/ painful erections, but no pain when flaccid, what do you suspect?
peyronie’s disease
what disease is peyronie’s associated w/?
duputren’s contracture
what is the treatment for pyeronies?
10% spontaneous improvement
collagenase clostridial histolyticum injection, CCB or interferon plaque injections
surgery (last resort): sexual dysfuction
what is a priapism?
erection >4 hrs not associated w/ sexual arousal or desire
what are some causes for priapism?
leukemia, sickle cell, tumors, infections, trauma
what do both ischemic and non ischemic priapism need?
urology consult
what is non ischemic pripaism?
high flow, unregulated high blood flow typically from perineal or spinal cord trauma
what is ischemic priapism?
venous congestion and arterial inflow cessation, ischemic injury to corpora cavernosa caused by RBC dyscrasias, drug use, ED treatments
Painful erection
large needle blood aspiration, adrenergic meds
what are risk factors for penile cancer?
uncircumcised, phimosis (Squamous cell carcinoma), HPV infection
what is mandatory if penile cancer is suspected?
biopsy is mandatory to rule out benging conditions
