Penis

Question 1

Management of non-retractile foreskin?

Answer 1

Treat with topical steroids if older than 4 years of age, or if issues with recurrent balanitis. If fails to respond, refer

Question 2

At what age does the foreskin usually begin to retract?

Answer 2

2 years of age

Question 3

Possible causes of balanitis? (5)

Answer 3

Candidal
Irritant/allergic
Chlamydial/gonorrheal
Gardnerella
Bacterial

Question 4

Chronic fibrosing condition of the foreskin

Answer 4

Balanitis xerotica et obliterans

Question 5

Management of priapsism?

Answer 5

Promote “arterial steal” (e.g. climb the stairs)
Ice packs
Aspiration of corpora if conservative Rx unsuccessful

Question 6

Moist velvety-looking lesions on the glans

Answer 6

Erythroplasia of Queyrat

Question 7

Painless erosions on the glans associated with reactive arthritis?

Answer 7

Circinate balanitis

Question 8

Orange-red lesions with pinpoint spots on glans + foreskin?

Answer 8

Zoon’s balanitis

Question 9

Management of Zoon’s balanitis?

Answer 9

High potency steroids

Question 10

General management of balanitis?

Answer 10

Gentle saline washes
Ensuring cleaning under the foreskin
May respond to 1% hydrocortisone cream