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MC congenitAl malformation
Hypospadia
Usually ventricle
Malformation of urethral groove
Opening in dorsal surface of penis
Defect in genital tubercle
Epispadia
Small orifice of prepuce
Accumulation of secretions & Detritus
Infxn and carci
PHImosis
Infxn of glans &prepuce
Rf
Uncircumsized & accumulation of SMegma
Balanoposthitis of penis & prepuce
Type of fibromatosis
Painful contractures of penis
Causes infertility
Peyronie Dse.
Persistence & painful erection
Associated with trauma & sickle cell Dse
Priapism
Notes : sickle cell - missense —> glutamate—-> valine
Virus associated with priapism
Rabies
Condyloma acuminata sero type?
HPV 6-11
Venereal warts
In situ HPV 16
Bowen Dse
Bowenoid
Precursor for invasive squamous cell CA
Associated with visceral cancer
Bowens Dse
Colon CA oncogene
KRAS
MC carcinoma in penis
Invasive squa cell CA
40-70 y/o
Notes Type Verrucous - well deferentiated Warty basaloid Pa pillars
Incomplete descent of testis from abdomen to Scrotum
MC urinary D/o in male
Cryptoorchidism
Guide for testis descent
Gubernaculum
Sudden testicular pain
Twisting of cord
Torsion
Notes : UN ptwist w/in 6 HRs
Assoc. With bell Clapper abnormality - bilateral a atomic defect where testis has increased mobility
Predisposing to torsion
The Tonica vaginalis is not attach to testicle - thus moving freely
Bell clapper
Temp in testis
3 degree lower than the abdominal temp
Notes
Left is lower than Right
TUNICA VAGINALIS LESIONS
–Lymphaccumulation
–Elephantiasis
Chylocele
TUNICA VAGINALIS LESIONS
Varicocele
Dilated vein in spermatic cord
–Can contribute to infertility
TUNICA VAGINALIS LESIONS
–Fluid accumulation in tunica vaginalis
–Transillumination–
Contain benign mesothelial proliferation
Hydrocele
Dilation of pampifiniform plexus
High pressure in renal vein
Check
Varicocele
Division of urethra
- prostatic
- membranous - Shortest•Leastdilatable
- PEnile = longest. Narrowestpartofentireurethra
Notes : prostatic utricle - analogUE of uterus and vagina
Prostate Gland In Primary function?
Produce seminal fluid
Surrounds urethra
20-25gms
Prostate zone palipated in DRE
Peripheral
Assoc with carcinoma
Transitional - 25%
Central 5%
Nodular hyperplasia - central —-> more likely to produce urinary obstruction early in its course.
Prostate lining epithelium
Simple or pseudostratified columnar epithelium
Rich in citric acid and acid phosphatase
Sac-like extension/outpouching of the peritoneum –Accompanies the testis as it descends into the scrotum
Processusvaginalis(PV)