Male Genitalia

Question 1

what is the smegma?

Answer 1

secrection of the glans

Question 2

what is the tunica vaginalis?

Answer 2

covers testis everywhere except lateraly

Question 3

what is contained inside the spermatic cord?

Answer 3

nerves, vessels and sperm

Question 4

where does the spermatic cord joint with the seminal vesicle?

Answer 4

behind the bladder

Question 5

what is the inguinal canal?

Answer 5

forms a tunnel for the vas deferens

-external inguinal ring is palpagle

Question 6

how might you assess sexual desire?

Answer 6

have you maintained interest in sex?

Question 7

how might you assess arousal?

Answer 7

can you achieve and maintain an erection?

Question 8

how might you assess orgasm?

Answer 8

about how long does intercourse last?

Question 9

what are the characteristics of syphilis?

Answer 9

painless, clean borders, goes away

Question 10

what are the characteristics of chancroid?

Answer 10

painful, ragged borders, can progress to bubos in 25% of cases

Question 11

what is condylomata acuminata?

Answer 11

cauliflower-like appearance, caused by HPV

Question 12

what is hypospadias?

Answer 12

urethral opening is inferior-present and birth

Question 13

what is peyronie’s dz?

Answer 13

fibrous plaque causes penis to form upward

Question 14

indirect hernias are

Answer 14

congenital defect, persistent processus vaginalis, often courses into scrotum

Question 15

what are direct hernias?

Answer 15

degenerative, gradual weakening of the transversalis fascia, rarely courses into scrotum

Question 16

what are varicoicele?

Answer 16

varicose veins of the scrotum
feels like a “bag o worms” separate from testicle
a/w infertility
typically unilateral

Question 17

what is a spermatocele?

Answer 17

cystic mass above the testes
painless
contains sperm, but can’t be differentiated using PE,
send to US

Question 18

what is acute orchitis?

Answer 18

testes are inflamed, tender and swollen
ddx: epididymitis
a/w mumps and other viral illnesses
usually unilateral

Question 19

what is testicular torsion?

Answer 19

trauma related
common in adolescents
vessels twist around each other and the testicle may die
US is diagnostic

Question 20

what types of nerves supply the anal canal?

Answer 20

somatic sensory

Question 21

where is the prostate gland located?

Answer 21

anterior rectal wall
heart shaped and normally 2.5 cm long
lateral lobes and median sulcus are palpable