The Penis

Question 1

inflammation of glans penis

Answer 1

balanitis

Question 2

inflammation of penile foreskin

Answer 2

posthitis

Question 3

cause of balanitis / posthitis

Answer 3

typically monilial (yeast.. think uncontrolled DM)

Question 4

glossy flat lesions of penis / foreskin
blotchy erythema, penile adhesions
smegma, phimosis

Answer 4

posthitis / blanatis

Question 5

tx for balanitis / posthitis

Answer 5

lotrimin (antifungal) +/- mild topical steroid

control DM, hygiene

if fever add oral abx if infxn going systemic

Question 6

inability to retract foreskin

Answer 6

phimosis

Question 7

cause of physiologic phimosis

Answer 7

normal till age 4 don’t force it

Question 8

T/F balanitis / posthitis is rare in uncircumcised males

Answer 8

true

Question 9

cause of pathologic phimosis

Answer 9

onilial yeast psthitis, usually from poor DM control

rarely traumatic

Question 10

pain, fissuring of foreskin, deflection w/ erection

associated with UTI and urinary retention

Answer 10

Phimosis

Question 11

TX phimosis pathological

Answer 11

nystatin +/- topical steroid (mycology)

Question 12

tx phimosis kids

Answer 12

expectant till age 4 but then topical steroid

if refractory refer for circumcision

Question 13

foreskin is stuck in retracted position and cannot be reduced

Answer 13

paraphimosis

Question 14

causes of paraphimosis

Answer 14

iatrogenic: poor catheter care/ frequent

tight phimosis with retraction of of prepuce

Question 15

prepuce

Answer 15

foreskin

Question 16

tx paraphimosis

Answer 16

manual compression /reduction of edematous tissue 
dorsal slit (faster recovery phimosis)

Question 17

inflammation of the urethra

Answer 17

urethritis

Question 18

what causes urethritis

Answer 18

STI
gonococcal –> purulent discharge
chlamydial –> thin / watery

Question 19

tx urethritis

Answer 19

ceftriaxone / Cipro
with
azithro/doxy

Question 20

inability to maintain an erection

Answer 20

ED

Question 21

RF for ED

Answer 21

DM, HTN, CAD< hyperlipidemia, smoking, surgery (radical prostatecotmu)

Question 22

hormonal milieu

Answer 22

low testosterone ..exacerbates ED

Question 23

ED tx

Answer 23

PDE inhibitors (Viagra, Cialis)

Question 24

penile condyloma cause

Answer 24

HPV related

check anus and meatus

Question 25

when biopsy a genital wart

Answer 25

if look atypical (large, pigmentation, induration) refractory to tx

Question 26

condyloma tx

Answer 26

podofilox, cryotherapy
immune: veregen, imiquimod (cytokine induction)
surgical excision, laser ablation

Question 27

is there a cure to HPV warts?

Answer 27

no

Question 28

penile cancer is associated with

Answer 28

HPV 16, 18, 31, 33

rare in circumcised men

Question 29

penile cancer is what type cancer

Answer 29

skin - squamous cell

Question 30

condylomata, penile swelling, balanitis, phiosis

Answer 30

penile cancer presentation

Question 31

urethral stricture congenital wont present till

Answer 31

kids are teenagers

Question 32

tx urethral stricture

Answer 32

dilation - gradually larger cathers
urethrotomy for short strictures
urethroplasty for recurrent strictures

Question 33

4+ hr erection

Answer 33

priapism

Question 34

causes of priapism

Answer 34

sickle cell disease, systemic CAs (lymphomas, leukemia)

Question 35

peyronie’s disease

Answer 35

plaque deposition in tunica albuginea