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.
2
Q
Disorders of the penis
Foreskin problems in adults
Balanitis
A
- Inflammation caused by Candida or faecal bacteria
- Paraphimosis - foreskin forcefully retracted
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.