male genitalia and associated conditions

Question 1

what is a urethral caruncle

Answer 1

a small, soft, red, smooth swelling at the urethral orifice (inflammatory pedunculated or polypoid lesion) which bleeds regularly
often caused by meatal prolapse

Question 2

urethral caruncle presentation

Answer 2

mostly asymptomatic but may be tender and bleeds a lot, can ulcerate

Question 3

urethral caruncle mgx

Answer 3

surgical excision

Question 4

urethral caruncle epi

Answer 4

most common in women post menopause, extremely rare in men

Question 5

urethral caruncle pathology

Answer 5

inflamed granulation tissue covered by an intact but easily friable mucosa - can be urothelium or squamous

Question 6

what is condyloma acuminatum

Answer 6

a benign, contagious STI (genital wart) - present on the mucocutaneous surface of the genital area
assoc w HPV 6 (sometimes 11)

Question 7

condyloma acuminatum epi

Answer 7

young, sexually active men

Question 8

condyloma acuminatum appearance

Answer 8

soft, flesh-coloured cauliflower like, raised/flat lesion - may occur singly or in moruloid clusters

Question 9

what should be suspected if condyloma acuminatum is found in a child

Answer 9

sexual abuse

Question 10

what is condyloma acuminatum assoicated with

Answer 10

koilocytosis - squamous epithelial cells with perinuclear cavitation and nuclear features of low grade squamous intraepithelial lesion