Penile and Urethral Disorders

Question 1

Hypospadias

Answer 1

DIsplacement of urethral opening ventrally

Most common

Question 2

Epispadias

Answer 2

Urethra opens on dorsal aspect

Very rare

Question 3

Hypo and Epispadias associated with?

Answer 3

Inguinal hernias

Undescended testes

Question 4

Hypo and epispadias tx

Answer 4

Surgery before 2 yo

Question 5

Balantis (Balanoposthitis)

Answer 5

Glans penis becomes inflamed
ONly occurs in uncircumcised penises
11% of urology visits

Question 6

Balantis s/s

Answer 6

occur over 3–7 days
Pain and redness of glans
Pruritis, ulcerations, scaling
Purulent discharge

Question 7

Phimosis

Answer 7

Tight foreskin that cannot retract behind glans.
Uncircumcised patients
Can be complication of balantis
Requires referral

Question 8

Paraphimosis

Answer 8

Foreskin left retracted behind glans, resulting in engorgement and edema.
Can result in ischemia, necrosis of glans

Question 9

Paraphimosis tx

Answer 9

Ice or compression to reduct swelling
Anesthesia and sedation
Draw skin forward over glans
Abx and circumcision

Question 10

SCC of penis

Answer 10

uncommon
Happen in 60’s
RIsks: HPV infxn
HIV, smoking

Question 11

Peyronie’s Dz

Answer 11

FIbrous plaque resulting in painful curvature of erect penis.
No pain when nonerect
May follow trauma
Tx w/ surgery, meds

Question 12

Priapism

Answer 12

Prolonged painful erection
Greater than 4 hrs
Not associated with wanting a boner
idiopathic in 60%
Obstructive venous drainage is patho
Ischemic priapism is emergency

Question 13

Ureteral reflux

Answer 13

Males 6 to 1: seen in young kids
Genetic predisposition
UTI and fever in infant

Question 14

Ureteral reflux dx and tx

Answer 14

US and VCUG

Abx

Question 15

Urethritis

Answer 15

more common in females.
Bacteria, STI’s. viruses
Dysuria and frequency

Question 16

ED

Answer 16

Common in older pop

Not soley caused by Low T

Question 17

Causes of ED

Answer 17

Anxiety/depression
fatigue
Guilt/stress
Marital discord
Excessive ETOH 
DM, CVD, Renal dz, neurologic, hormonal

Question 18

Meds causing ED

Answer 18

H1 and H2 blockers
Thiazides
SSRI’s