Penile and Urethral Disorders Flashcards
Most common abnormal location of the urethral orifice
hypospadias (ventral)
Abnormal location of the urethral orifice that can occur in males or females. Often extends to the bladder.
epispadias (dorsal)
Occurs when the glans penis becomes inflamed. Sx include pain/redness of glans and thick, purulent foul smelling exudate
balanitis
Important to rule out in suspected balanitis because it’s an urological emergency
paraphimosis
Foreskin is tightened and cannot be retracted behind the glans. Uncircumcised patients. Urological referral
Phimosis
The foreskin has been left retracted behind the glans, resulting in painful engorgement and edema of glans (possible complication of balanitis!)
paraphimosis
Complications of paraphimosis
glandular ischemia w/arterial occulsion and necrosis of glans
Treatment for paraphimosis
ice, anesthesia/sedation, draw skin over glans. circumcision definitively
Fibrous plaque resulting in painful curvature of erect penis/sexual dysfunction. No pain when nonerect. May follow trauma
peyronie’s disease
Initial treatment for peyronie’s disease
watchful waiting
condition of prolonged painful erection…“greater than 4 hours”—NOT associated w/sexual excitement or desire. if ischemic is a urological emergency
priapism
Condition with genetic predisposition. Present as UTI or fever in infants. Diagnosed with US or VCUG. May need surgery to re-implant ureters
ureteral reflux
Urethral irritation due to chemicals, infection, or manipulation. pathogen is frequently e.coli. classic symptoms are dysuria and frequency
urethritis
What is the work-up for urethritis?
UA, urethral smear if discharge otherwise NAAT, STI testing
Common cause of balanitis
yeast- do KOH
