penile disorders

Question 1

what are 4 types of of penile lesions

Answer 1

HPV, leukoplakia, bowen’s disease, skin cancer

Question 2

describe HPV lesions

Answer 2

painless, enlarging wart like growth (aka condyloma accuminata)

Question 3

describe leukoplakia lesions

Answer 3

hyperkeratotic scaly white patches

Question 4

describe Bowen’s disease lesions

Answer 4

intraepidermal PRECANCEROUS indurated erythematous plaque, ulcerated center, development of pinkish/brownish papules covered with a thickened horny layer

Question 5

what are the 2 types of skin cancers to worry about?

Answer 5

squamous cell carcinoma and melanoma

Question 6

what 2 lesions need biopsy?

Answer 6

leukoplakia and Bowen’s disease

Question 7

what is balanitis?

Answer 7

inflammation of glans

Question 8

what are causes of balanitis?

Answer 8

uncircumcised w/poor hygiene
diabetes/ obesity
chemical irritants
CHF/cirrhosis/nephrosis
drug allergies
infections (candida, HPV, anaerobes, gardnerella, etc)
penile cancer

Question 9

what is phimosis

Answer 9

can’t get foreskin to retract back (stuck forward)

Question 10

what is paraphimosis

Answer 10

foreskin is retracted and can not be returned to un-retracted position. (stuck back) massive swelling and ER referral

Question 11

what is hypospadius

Answer 11

urethral opening on the ventral surface (under)

Question 12

what is epispadias?

Answer 12

urethral opening on dorsal surface (upper0

Question 13

which is more common: hypospadius or epispadias?

Answer 13

hypospadius

Question 14

what are causes of hypospadius/epispadias

Answer 14

exposure ot PG hormone, finesteride/lack of testosterone in utero, inherited

Question 15

what is hypospadius/epispadias often associated with?

Answer 15

inguinal hernias and cryptochidism (unable to distend testis)

Question 16

what is the treatment option for hypospadius/epispadias

Answer 16

surgical correction

Question 17

what is priapism?

Answer 17

non-erotic sustained painful erection with acute onset

Question 18

what structure does the priapism affect?

Answer 18

involves the corpora cavernosa ONLY

Question 19

what are causes for priapism?

Answer 19

MC from medication like viagra or levitra

Question 20

what are treatment options for priapism

Answer 20

ice water/ice water enema, meds and rarely drainage

Question 21

what is peyronie’s disease?

Answer 21

plaques/strands of dense fibrous tissue surrounding the corpora cavernosa

Question 22

what does peyronie’s disease lead to?

Answer 22

deformity and painful erection and impotence

Question 23

what is the common age for peyronie’s and how common is it?

Answer 23

men 45-60yo (1-3%)

Question 24

what are the risk factors for peyronie’s disease?

Answer 24

unknown, trauma, HLA-B27, diabetes

Question 25

what are symptoms/signs of peyronie’s disease?

Answer 25

hardened tissue, pain during erection, curvature with erection, distortion

Question 26

how is peyronie’s disease diagnosed?

Answer 26

cause an erection and examine

Question 27

peyronie’s disease treatment options?

Answer 27

watch/wait 1-2 years (often resolves), non-surgical treatment for 1st 6mo, surgery

Question 28

how many are affected by penile cancer in the US

Answer 28

1/100,000

Question 29

what are risk factors for penile cancer?

Answer 29

uncircumcised male (almost exculsively), HPV infection, smoking, age (>50)

Question 30

signs/symptoms of penile cancer

Answer 30

growths/sores, abnormal discharge, bleeding

Question 31

treatment for penile cancer

Answer 31

surgery, radiation, chemo