GU Male

Question 1

_Perineal, sacral, or suprapubic pain
_Fever
_Irritative voiding symptoms
_Urinary retention
_Warm and tender prostate

Answer 1

Acute Prostatitis

Question 2

_Perineal, sacral, or suprapubic pain
_Fever
_Irritative voiding symptoms
_Urinary retention
_History of urinary tract inection
_Prostate may be normal, boggy, or indurate

Answer 2

Chronic Bacterial Prostatitis

Question 3

_Unilateral testicular swelling
_Phren sign
_History of acute physical strain, trauma, or sex
_Fever
COMPLICATIONS:
_Epididymo-orchitis
_Decreased fertility
_Abscess formation

Answer 3

Epididymitis

Question 4

_Inability to attain or maintain an errection
PRIAPISM:
_Errection lasting longer than 4 hours
_Ischemic injury of the copora cavernosa
Initial treatment for Priapism:
_Aspiration of blood from penis and the injection of epinephrine or phenylephrine

Answer 4

Erectile Dysfunction

Question 5

_Hesitancy
_Decreased force and caliber of stream
_Sensation of incomplete bladder emptying
_Double voiding
_Straining to urinate
_Post void dribbling
_Irritative voiding symptoms:
_Frequency
_Urgency
_Dysuria

Answer 5

Benign Prosttic Hypertrophy

Question 6

_Excrutiating lower back pain
_Focal nodules or areas of induration on DRE
_Obstructive voiding symptoms
COMPLICATIONS:
_Urinary retention
_Renal failure
_Metastatic bone pain
_Thromboembolic events
_Neurologic symptoms
_Pathologic fractures

Answer 6

Prostate Cancer

Question 7

_Tenderness to palpation
_Ecchymosis
_Swelling
_Laceration
_Bleeding

Answer 7

Scrotal Trauma

Question 8

_Sac fills with blood and appears as a large blue tender scrotal mass

Answer 8

Blunt Testicular Injury

Question 9

_Tense edema of scrotum
_Blisters/bullae
_Crepitus
_Fever
_Pain (out of proportion to physical exam)
_Tachycardia
_Hypotension

Answer 9

Fournier’s Gangrene

Question 10

_Asymptomatic mass
_Mild pain
_Mass is separate from testes
_Feels like “bag of worms”
_Size increases with valsalva

Answer 10

Varicocele

Question 11

_Gradually enlarging painless cystic mass that transilluminate

Answer 11

Hydrocele

Question 12

_Painless
_Typically transilluminate as cystic in nature

Answer 12

Spermatocele

Question 13

_Painless enlargement of the testis (patients delay seeking medical attention for 3-6 months)
_Solid mass
_Sensations of heaviness

Answer 13

Testicular Cancer

Question 14

_Acute onset, constant unilateral pain that is unrelieved by elevation
_Negative cremasteric reflex
_High riding testis (Bell clapper)
_Profound tenderness and swelling
_Nausea and vomiting

Answer 14

Testicular Torsion

Question 15

_Immediate pain
_Deforming hematoma
_“CRACKING SOUND”
_Immediate detumescence
_May cause urethral injury

Answer 15

Penile Rupture or Fracture

Question 16

_Occurs from objects placed circumferentially around the penile shaft “penile rings”

Answer 16

Constricting / Strangulation Injuries

Question 17

_Blood at the urethra meatus
_Perineal hematoma
_High riding prostate on DRE

Answer 17

Urethral Injury

Question 18

_Forskin unable to retract
_May have urinary retention

Answer 18

Phimosis

Question 19

_Constricting band proximal to
the glans
_Swollen
_Painful
_Gangrenous
_Urinary retention

Answer 19

Paraphimosis