Penile disease

Question 1

What is balanitis?

Answer 1

Acute inflammation of the foreskin and glans

Question 2

Cause of balanitis?

Answer 2

strep, staph, candida

Question 3

RF for balanitis?

Answer 3

DM, kids with tight foreskin

Question 4

Rx for balanitis?

Answer 4

Hygeine advice, abx, circumcision

Question 5

WHat is phimosis?

Answer 5

Foreskin occludes the meatus

Question 6

How do children present with phimosis and how do we manage?

Answer 6

Recurrant balanitis and balooning

retraction, steroid cream, circumcision

Question 7

Adults with balanitis?

Answer 7

Dysparaeunia, infection

Mx: circumcision

Question 8

What is phimosis associatedd with in adults?

Answer 8

B xerotica obliterans: thickening gives phimosis and meatal narrowing

Question 9

What is paraphimosis?

Answer 9

tight foreskin is retracted and becomes irreplaceable. decreased venous return gives oedema and swelling of the glans. rarely causes glans ischaemia

Question 10

Causes of paraphimosis

Answer 10

catheterisation, masturbation,. intercourse

Question 11

Mx of paraphimoses:

Answer 11

manual reduction with ice and lignocaine

May require glans aspiration or dorsal split

Question 12

What are hyrdrospadias?

Answer 12

developmental abnormalitiy of position of urethral opening, will be on ventral surface

Question 13

Risk factors for penile cancer?

Answer 13

HPV, infection, chronic irritation

Question 14

Presentation of penile Ca?

Answer 14

chronic fungating ulcer, bloody/purulent discharge, 50% have nodes at presentation

Question 15

Mx of penile Ca?

Answer 15

Medical: early growths, DXT and irridium wires

Surgical: amputation if urethral involvement and node dissection