Chapter 124: Urologic Emergencies - Incomplete

Question 1

At when age do foreskin adhesions spontaneously lyse in 90% of children

Answer 1

2-4 years

Question 2

Definition of phimosis

Answer 2

Tightness of distal foreskin precludes its being withdrawn to expose the glans

Question 3

What condition is commonly confused with phimosis

Answer 3

normal penile adhesions

Question 4

Definition of paraphimosis

Answer 4

In uncircumcised male infant if the foreskin is retracted behind the glans and left in that position, venous congestion and edema of the foreskin results - making it difficult to reduce

Question 5

Non-surgical management options for paraphimosis

Answer 5

Ice, and steady local manual compression

Topical anesthestic or penile block - ( then turn the sock in side out)

Question 6

Surgical management of paraphimosis

Answer 6

Surgical division of the foreskin - followed later on with circumcision

Question 7

Balanoposthitis

Answer 7

Infection of the foreskin the spreads to the glans - a form of cellultis - often due to a break in penile skin and ammoniacal dermatitis

Question 8

Causes of balanoposthitis

Answer 8

Local trauma or poor penile hygiene

Question 9

Treatment of balanoposthitis

Answer 9

Warm soaks, ampicillin
Patient may feel more comfortable voiding in a tub of warm water
Circumcision if recurrent events

Question 10

Priapism causes

Answer 10

Sickle cell (sludging and stasis in erectile tissue of corporal bodies  - hypoxia - acidosis - sickling 
Leukemic infiltration

Question 11

Complication of priapism

Answer 11

impotence ( but is rare when related to sickle cell disease)

Question 12

Treatment of priapism associated with sickle cell disease

Answer 12

Hydration and irrigation of corporal bodies along with vasoactive substances

Question 13

True or false meatal stenosis is almost exclusively a problem of the circumcised male

Answer 13

True