Benign & Scrotal Diseases Flashcards
What is Phimosis? Etiology?
Inability to retract foreskin proximal to corona of glans;
congenital, inflammation
Signs and Symptoms of Phimosis
recurrent infection due to retained secretions, when severe - obstructive voiding symptoms with ballooning of foreskin during urination and possible urinary retention.
Treatment of Phimosis
dorsal slit or circumcision.
Sequelae of Phimosis
balanitis, urinary tract infection
What is Paraphimosis? Etiology?
Inability to replace foreskin over glans after retraction; Phimosis
Signs and Symptoms of Paraphimosis
edema with secondary venous stasis
Treatment of Paraphimosis
manual compression of edema and replacement of foreskin over glans
Sequlae of Paraphimosis
infection, penile infarct or abscess
What is Balanitis? Etiology?
Inflammation of foreskin (prepuce) and glans;
bacterial, fungal, allergic
Signs and Symptoms of Balantitis.
hyperemia, edema, discharge, pain, dysuria
Treatment of Balantitis
local hygiene, avoid allergen, topical therapy,
Sequelae of Balantitis
fibrosis, phimosis, meatal stenosis.
What is Priapism? Etiology?
Prolonged penile erection unassociated with desire;
neurologic disease, leukemia, sickle cell disease, tumors,
Signs and Symptoms of Priapism
erection > 2-4 hrs.
Treatment of Priapism
detumescence within 24 hrs. using corporal irrigation with dilute phenylephrine,