Disorders of the penis Flashcards

1
Q

Disorders of the penis

Foreskin problems in adults
Phimosis

A
  • foreskin will not fully retract, causing pain on intercourse.
  • caused by fibrosis of the foreskin and may be due to chronic or recurrent low-grade Candida infection
  • may be accompanied by stenosis of the urethral meatus
  • Treatment usually involves circumcision but a preputioplasty or reshaping operation is sometimes successful.
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2
Q

Disorders of the penis

Foreskin problems in adults

Balanitis

A
  • Inflammation caused by Candida or faecal bacteria
  • Paraphimosis - foreskin forcefully retracted
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3
Q

Disorders of the penis

Foreskin problems in adults

Peyronie’s disease

A
  • disease of unknown aetiology
  • associated with Dupuytren’s contracture of the palmar fascia.
  • Slowly progressive asymmetrical fibrotic plaques develop in the fascia surrounding the corpora cavernosa
  • .Condition causes penis to bend to the affected side

Severe cases require surgery:

  • Nesbit’s operation involves creating pleats in the corpus on the contralateral side.
  • Another approach involves excision of the plaques, which are replaced by a patch of tunica vaginalis.
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