Male Genitalia

Question 1

Peyronie’s disease

Answer 1

. Palpable nontender hard plaque just beneath the skin
. Usually along drum of penis
. Patient complains of crooked, painful erections

Question 2

Carcinoma of the penis

Answer 2

. Indurated nodule or ulcer that is nontender
. Limited to men who are not circumcised
. Any persistent penile sore is considered suspicious

Question 3

Scrotal hernia

Answer 3

. Hernia w/in scrotum is usually an indirect hernia

. Cones through external inguinal ring so examining fingers cannot get above it in the scrotum

Question 4

Scrotal edema

Answer 4

. Pitting edema may make scrotal skin taut

. May accompany generalized edema of CHF or nephrotic syndrome

Question 5

Cryptochidism

Answer 5

. Testis is atrophied and may lie in inguinal canal or the abdomen
. Results in undeveloped scrotum
. No palpable left testis or epididymis
. Raises risk of testicular cancer

Question 6

Acute orchitis

Answer 6

. Testes acutely inflamed, painful, tender, and swollen
. Difficult to distinguish from epididymis
. Scrotum may be red
. Seen in mumps and other viral infections usually unilaterally

Question 7

Spermatocele

Answer 7

Painless movable cystic mass just above testis
. Transilluminates
. Contains sperm
. Clinical indistinguishable from epididymal cyst

Question 8

Acute epididymitis

Answer 8

. Acutely inflamed epididymis is tender and swollen
. Difficult to distinguish from testis
. Scrotum Amy be red
. Vas deferens inflamed
. Occurs in adults
. Coexisting UTI or prostatitis supports diagnosis

Question 9

Venereal wart

Answer 9

. Rapidly growing excrescences that are moist and malodorous

. Result from infection by HPV

Question 10

Genital herpes

Answer 10

. Cluster of smal vesicles followed by shallow painful nonindurated ulcers on red bases
. Fewer lesions when infection recurs