Penis

Question 1

What is hypospadia

Answer 1

abnormal urethral opening on inferior surface of shaft of penis

Question 2

Which is more common- hypospadia or episapdia

Answer 2

hypospadia

Question 3

What is the cause of both hypopadia/epispadia

Answer 3

abnormal urethral fold closure- hypospadia

abnormal positioning of genital tubercle- epispadia

Question 4

Which one is a/w bladder extrophy, hernia and undescended testes

Answer 4

epispadia

Question 5

What is PHIMOSIS? Causes?

Answer 5

inability to retract prepuce from glans penis

Congenital
Chronic Inflam due to lichen sclerosis and poor hygiene i.e lack of circumcision can causes retainment of smegma which acts as a local irritant

Question 6

What is condyloma accuminatum? Causes?

Answer 6

warty lesions of genital skin. Low risk HPV (6,11)

Question 7

Causes of inflam conditions of penis

Answer 7

herpes, syphillis

Question 8

Common cancer of penis ?

Answer 8

SCC typically seen in males older than 55

Question 9

Cause of car of penis?

Answer 9

high risk HPV, poor hygiene, hx of genital warts, lichen sclerosis

Question 10

How does an invasive carcinoma of penis present?

Answer 10

grey, crusted papular lesions on glans penis/prepuce

Question 11

How does carcinoma in situ of penis present

Answer 11

leukoplakia/solitary lesion or plaque on shaft of penis

Question 12

Another name for this carcinoma in situ of penis?

Answer 12

Bowen’s disease

Question 13

List TNM staging for penile cancer

Answer 13

Tis- carcinoma in situ
T1- invasion of subepithelial tissues
T2- invasion of corpus spongiosum
T3- invasion of corpus cavernosum
T4- invasion to adjacent structures 
\+/- invasion of urethra

Question 14

Where does this penile cancer spread to first?

Answer 14

Inguinal nodes