Penile and Urethral Disorders

Question 1

Urethral Stricture

Answer 1

A fibrotic band of tissue that renders the normal compliant urethral lumen inelastic
Two types:
1. Anterior: Begins at the bulbar urethra and end at the meatus
2. Posterior: Involves the membranous and prostatic urethra

Question 2

Meatal Stenosis Symptoms

Answer 2

Spraying of stream
Bed wetting
Dysuria

Question 3

Hypospadius

Answer 3

A congenital defect in which the opening of the urethra is on the underside of the penis
Occurs between the glands and penile-scrotal junction
Presentation:
Spraying of urine
Having to sit down to void
Foreskin makes the penis look like it has a “hood”

Question 4

Balanitis

Answer 4

Inflammation of the glans penis
Uncircumcised men with poor hygiene most affected
Presentation:
Pain
Irritation
Itching/Burning

Question 5

Phimosis

Answer 5

Inability to retract the foreskin over the glans due to narrowing, constriction, or adhesions
Causes: 
Balanitis
Poor hygiene
Tx: Circumcision, Betamethasone cream

Question 6

Paraphimosis

Answer 6

Retracted foreskin becoming trapped proximal to the glans resulting in edema, inflammation, and pain
Untreated can lead to ischemia of the glans and eventual gangrene

Question 7

Peyronie’s Disease

Answer 7

A curvature of the penis, particularly during erections

Fibrosis and plaque formation of the tunica albuginea

Question 8

ED Risk Factors

Answer 8

HTN
Smoking
Diabetes mellitus
Hyperlipidemia
Obesity