Mens Health Flashcards
What is the treatment for phimosis and paraphimosis?
Phimosis - circumcision
Paraphimosis - manual reductioni (dorsal slit may be needed)
Penile cancer risk factors.
HPV 16 and 18
Phimosis
Smegma
What would you find on examination of testicular torsion?
Tender testis
Lying high in the scrotum horizontally
Give two things that may be present with epididymis orchitis.
Fournier gangrene
Reactive hydrocele
Give some causes of painless scrotal lumps
What is the pain pattern seen in varicocele?
Testis tumour
Hydrocele
Epididymal cyst
Reducible inguinoscrotal hernia
Pain/ ache at the end of the day
Give two positive signs on examination of hydrocele.
Give two other clinical signs on examination.
Transillumination postive
Fluctuation positive
Not palpable separately
Can usually get above the testi
Give 3 clinical signs on examination seen in epidydmal cysts.
Can get above
Transilluminates
Separate from the testis
What is the surgical procedure done for testicular tumours?
Symptomatic Varicocele?
Inguinal orchidectomy
Radiological embolisation
Why does varicocele result in infertility?
Excessive blood flow through the pampiniform plexus leads to excessive warming of the sperm and thus slowing the motility of the stem.
Give two causes of nocturnal polyuria
Sleep apnoea
Venous stasis
What does spraying of urine indicate?
A stricture
Give two drugs used in ttreatment of BPH.
Alpha blockers (Tamsulosin) 5ARI - Finasteride
Give some filling LUTS.
Filling
- Nocturia
- Frequence
- Urgency
- Dysuria
Give some risk factors for LUTS.
Increased serum DHT levels Obesity Elevated fasting glucose Diabetes Fat and red meat intake
Give a medical Tx for ED.
Give another use for this medication,
Alprostadil
(PGE1 - vasodilation)
Maintaining a patent ductus arteriosus in newborns who require a PDA because they have another congenital heart malformation.
