Disorders of the penis Flashcards
1
Q
Peyronie- Eti
A
- Curvature of penis
- Unknown eti
- Injury or remodeling to cavernosum causing scarring or plaques
2
Q
Peyronie- Tx
A
- Trental/ pentoxifyline- unknown mechanism, provides o2 to trauma
- Verapamil/ xiaflex injected into plaque
- Surgery- prosthesis is best
3
Q
Peyronie- Sx
A
- Curvature of penis causing erectile dysfunction
- Pain
4
Q
Phimosis- Eti
A
- Contracted foreskin can’t be retracted over glans
- Due to inflammation of infection
5
Q
Phimosis- Sx
A
- Edema, erythema & tenderness
- Recurrent balanitis
- +/- discharge
6
Q
Phimosis- Tx
A
- Abx to tx infection
- Circumcision
7
Q
Paraphimosis- Eti
A
- Retracted foreskin can’t be replaced over glans
- Chronic inflammation over redundant foreskin
8
Q
Paraphimosis- Sx
A
- Tight ring of skin stuck over glans
- Skin color change = ischemia
- Edema & erythema
9
Q
Paraphimosis- Tx
A
- Squeeze glans for 5 minutes to reduce edema and bring skin over glans
- Incision & circumcision if needed
10
Q
Priapism- Eti
A
- Erection lasting > 4 hrs
- Ischemic with ED drugs
- Penile trauma & sickle cell
11
Q
Priapism- Sx
A
- Erect penis
- May be painful
12
Q
Priapism- Dx
A
Doppler or blood gas to determine if ischemic
13
Q
Priapism- Tx
A
- Sympathomimetic drug
- Aspiration
14
Q
Balanitis- Eti
A
- Inflammation of glans
- Infectious agents or skin disorders (lichen, psoriasis)
- Poor hygiene
15
Q
Balanitis- Sx
A
- Pain, pruritis
- Erythematous lesions
- Foul smelling exudate
- Systemic sx
