Prostate, Penile, Urethra Flashcards
Pelvic ultrasound shows a cystic appearing structure behind the bladder. Patient also has a proximal hypospadias. Dx?
Prostatic utricle
- represents vestigial, distal 1/3 vagina
- present b/c of decreased/lack of androgen
Should you worry about glanular adhesions/synechia in uncircumsized males?
No, most resolved by adolescence.
Cause of congenital buried penis?
Inelastic Dartos fascia.
- will have a normal penile stretch length
What is the cutoff for micropenis?
Penile stretch length < 1.9cm ( < 2.5 age-adjusted std deviations)
Cause of micropenis?
fetal hypogonadism after initial growth, usually hypogonadotropic hypogonadism
Treatment of micropenis?
testosterone trial at 3 months…if penis grows, continue until within reference range
Labs to consider for micropenis?
karyotype, serum testosterone (pre- and post-hCG stimulation), LH, FSH, thyroid panel, cortisol
What is a chordee?
congenital ventral penile curvature
What chordee associated with?
Hypospadias
Penile torsion is usually rotated which way?
Counterclockwise
What are the 3 grades of penile torsion?
Mild: < 60 degree rotation
Moderate: 60-90 degree rotation
Severe: > 90 degree rotation
Treatment of penile torsion?
lysis of dysgenic fibrous bands near penile base
Most common Effman classification of urethral duplication?
Sagittal duplication with two separate meautuses and an ability to void through both simultaneously
With sagittal duplication, which meatus/urethra is the anomaly?
The dorsal one
