Urology - Penile Conditions Flashcards
features of epididymitis?
unilateral scrotal pain/swelling tender hot discharge dysuria
what infections can cause epididymitis?
STIs
mumps
bladder outlet obstruction (stones/instruments)
Ix for epididymitis?
US
dipstick and culture
STI test
Tx for epididymitis?
analgesia bed rest abstain from sex ofloxacin treat STIs
risk factors for epididymitis?
unprotected sex
cystocopy
catheters
bladder outflow obstruction
what happens in paraphimosis?
foreskin is retracted and left behind the glans (emergency)
Tx for paraphimosis? what is patient at risk of?
manual retraction
necrosis
what is phimosis? Tx?
foreskin can’t be retracted
circumcision
what is priapism?
> 4hrs of penile erection in the absence of sexual excitation
causes of priapism?
ischaemic thromboembolism neurological drugs alcohol trauma
risk factors for erectile dysfunction?
CV disease PAD DM smoking depression relationship problems neuro problems antidepressants/anti HT
Ix for erectile dysfunction?
BM
lipids
hormone profile
Tx for erectile dysfunction?
therapy
sildenafil
what drug class is sildenafil? side effects?
phosphodiesterase 5 inhibitors
CVS/MI/arrythmias/HT
