penis Flashcards
what is balantis
inflammation of the glans penis
common infective causes balantis
candidas, staph spp
symptoms candidas balantis
after intercourse, itchy, white non-urethral discharge
invx balantis
usually clinical, maybe swap, maybe biopsy
mx candidas balantis
topical clotrimazole 2 weeks
mx bacterial balantis
oral fluclox or clarithro
mx anaerobic balantis
topical or oral metrodinazole
mx dermatitis + circinate balantitis
weak topical steroid eg hydrocortisone
mx lichen slcerosis and plasma cell banalitis
strong topical steroid eg clobetasol
what can help mx of lichen sclerosis balantis
circumcision
symptoms circunate balantis
painless erosions, reactive arthritis
what is priapism
sustained erection >4hrs, not sexual
what is ischaemic priapism
impaired vasorelaxation –> build up of de-oxygentaed blood –> compartment like syndrome –> pain
what is non-ischaemic priapism
high blood inflow // fistula or trauma
causes priapism
idiopathic // sickle cell // ED ,eds eg sildenafil or PDE5 inhibitors // antihypertensives // recreational drugs
symptoms priapism that would suggest non-ischaemic
not painful, not fully rigid
invx priapism
cavernosal blood gas // USS // FBC + toxicology
mx ischamic priapism
1 = aspirate + saline flush // 2 = inject vasoconrictive eg phenylephrine every 5 mins
what is paraphimosis
penis foreskin is retracted and gets stuck –> glans becomes swollen
causes paraphimosis
commonly pulled back skin for catheter and not put back
medical benefits circumcision
reduces risk penile cancer, UTI, acquired HIV
medical indications for circumcision
phimosis, recurrent balantitis, balnatitis xerotica obliterans, paraphimosis
what is a contraindication to circumcision
hypospadias
causes urethral stricture
iatrogenic, STI, hypospadias, lichen sclerosus
