The Penis And Urethra Flashcards
Urethral stricture causes
Injury that heals with scar -catheter -TURP Inflammatory Congenital Cancer
Urethral stricture symptoms
Poor stream Straining Spraying/double stream Dribbling Frequency Urine infection Mild pain Retention
Urethral stricture management
Incision
Urethral Plath
Urethral trauma managment
Anterior-> remove haematoma and repair
Posterior-> suprapubic catheter
Partial-> catheter
Phimosis definition and pathology
Non retractable foreskin
Repeated infection -> scarring
1% 16-18y
Congenital-> normal until 2-3y
Phimosis symptoms
Parental concern Recurrent infection Ballooning during micturition Painful erection Haematuria Swelling and redness Penile carcinoma -> treat infection and circumcise
Para phimosis definition and risk factors
Tight foreskin is retracted and won’t go back-> emergency
- failing to pull back after cleaning
- scaring
- vigorous sex
- chronic infection
- pencil piercing
Priapism definition and pathology
Persistent and painful erection
- 80% no underlying causes
- intravascular injections of vasoactive drugs
- sickle cell anaemia
- leukaemia
- malignancy
Priapism management
Needs to be fixed with 8h-> permanent erectile failure
Aspirate
Shunt
Peyronie’s disease
What
Symptoms
How
Fibrous thickening of corpora cavernosa-> penis bent when erect
-> wedge excision to straighten
Carcinoma of the penis
Causes
Symptoms
Management
Uncircumcised
Elderly
Poor hygiene
Symptoms
- offensive bloody discharge
- non retracing foreskin
- inguinal lymphadenopathy
Partial/radical amputation
Erectile dysfunction epidemiology
52% 40-70y
Erectile dysfunction risk factors
Lack of exercise Obesity Smoking Hypercholesterolemia Hypertension Metabolic symptoms Diabetes
Erectile dysfunction causes
Pelvic surgery/radiotherapy Trauma Neurological Hormonal Anatomical Drugs -anti hypertensive -b blockers -antidepressants -diuretics -antihistamine Psychogenic
Erectile dysfunction investigations
Fasting glucose and lipids
Morning testosterone
PSA
FSH/LH/prolactin
