Quiz 4 - Penile Conditions Flashcards
UT cancers and bladder CA risk…
former increases the risk of the latter
Ureter and renal pelvic cancer RFs
smoking, contrast dye, solvents, Balkan nephropathy
Ureter and renal pelvic cancer pathology
TCC
Ureter and renal pelvic cancer tx
open or laparoscopic nephroureterectomy
Congenital anomalies of the ureter
obstrxn of uretopelvic jxn ureteral atresia duplication of ureter ectopic ureteral orifice vaginal wall prolapse obstructed megaureter
Acquired anomalies of ureter
ureteral obstruction
retroperitoneal fibrosis
Senile urethritis s/sxs
burning, freq, urgency
red hypersensitive meatus
eversion of urethral tip
itching
Senile urethritis Tx
estrogen
capsicum homeopathic
urethral caruncle
friable vasc tumor
post-menopausal
urethral caruncle s/sxs
dysuria, dyspareunia, and bloody spotting from mild trauma
urethral caruncle Tx
cured by excision
cann.s, Eucal, eup pur, thuj
urethral stricture etiol
infection from indwelling catheter or external trauma
complication - hydronephrosis
Hydronephrosis def
Dilation of renal pyelocalyceal system from obstruction
Hydronephrosis sxs
pain
abdominal mass, N/V
urgency, frequency
polyuria, nocturia, anuria
Hydronephrosis Labs and Imaging
BUN and creatinine will inc with loss of renal fxn
Hypernatremia, hyperkalemia, RTA
Can be normal urine sediment unless concurrent infx, stones
US
Peyronie’s Disease (CITA)
Scarring of the tunica albuginea in the corpora cavernosa formation of plaques that can cz painful erection and dorsal curvature
Peyronie’s Disease (CITA) RFs
penile trauma
FHx/ HLA-B7 or HLA-DQ5 +
contractures
smoking, HTN, hyperlipidemia
Phimosis, Physiologic
Foreskin cannot be retracted back away from the glans penis.
In boys, 50% of normal retractability by age 10, (but up to 15)
Phimosis, Pathologic
Pain, constriction, meatus blockage due to adhesion
Phimosis, Nat Tx
cream of calendula w 20 ml Centella asiatica and vit E oil to foreskin
Oral bromelain, gotu kola
HP: Merc sol, Nit Ac
Balanitis/Balanoposthitis Etiologies
Poor hygeine
Candida
STI
zipper injury :(
Balanitis Xerotica Obliterans
Glans and foreskin tissue aptrohies and appears whitish.
X pain with intercourse, itching, decrease urine stream
benign- can precede SCC
Pre-cancerous penile lesions
Leukoplakia seen rarely – red, irritated, sore
Balanitis xerotica obliterans – white patch originating on prepuce or glans, most commonly in middle-aged diabetics. (lichen sclerosis)
Giant condylomata acuminata
Penile Cancer- CIS
Bowen Disease, Erythroplasia of Queyrat
Invasive Carcinoma of the Penis
most common
DDX Penile Lesions
Syphilitic chancre (painless ulceration) Chancroid (H. ducreyi) (painful) Condyloma acuminatum (soft “grape cluster”)
