Witwer - Male GU Flashcards
tight foreskin that can not be pulled back
phimosis
phimosis can be normal in __ patients,
and usually resolves by __ yo
young
7
if phimosis has not resolved by __ yo, pt needs tx
16
phimosis predisposes pt to
infxn
fibromatosis
painful contracture/erection
plaque formation
curved penis
peyronie’s dz
what is fibromatosis
multiple fibromas
persistent painful erection
thrombosis w. fibrous replacement
priaprism
rf for priaprism (2)
SSA
trauma
mc STIs in males
gonorrhea
chlamydia
what do you think when you see: watering can urethra, multiple sinuses, fistulae, abscesses extending from urethra
gonorrhea
what do you think when you see dysuria and penile discharge
chlamydia
AND
gonorrhea
scarring that narrows the urethra → causes inflammation/infxn
urethral strictures
causes of urethral strictures (5)
injury
instrumentation
gonococcal infxn
chronic urethritis
congenital
urethral strictures were common before
abx
what do you think when you see a pt w. persistent, treatment resistant urethritis
non specific urethritis (NSU)
what is NSU
infxn caused by multiple uncommon organisms
how do you treat NSU
refer to Schoenwald
mc developmental defect of the male genitalia
cryptochordism
lack of descent of testes
cryptochordism
80% of cryptochordism descends by __
and 90% involve the __
1 yo
inguinal canal
__% of cryptochordism is truly cryptic
10
complications of cryptochordism
infertility
increased risk for seminoma
tx for cryptochordism
watchful waiting
orchiopexy
accumulation of fluid around a testicle in the tunica vaginalis
hydrocele
the tunica vaginalis is a remnant of the __
carried to the testes by the __
during testes descent
peritoneum
gubernaculum
2 types of hydrocele
primary
secondary
mc cause of scrotal enlargement in kids
primary hydrocele