Penis Pathology Flashcards
What is condyloma Acuminatum characterised by?
Koilocytic change (raisin nuclei)
What is Lymphogranuloma Venereum?
- Necrotizing granulomatous inflammation of inguinal lymphatics and lymph nodes
- Caused by Chlamydia trachomatis (L1-3)
What can Lymphogranuloma Venereum lead to?
- Heads with fibrosis
- Perianal involvement may result in rectal strictures
What is squamous cell carcinoma of the penis associated with?
- HPV
- Uncircumsised
What are the precursor in-situ lesions to squamous cell carcinoma?
- Bowen disease (shaft)
- Erythroplasia of Queyrat (glans)
- Bowenoid papulosis (reddish papules)
What type of in-situ lesion of the penis presents as leukoplakia (white plaque)?
Bowen disease
What type of in-situ lesion of the penis presents as erythroplakia (red plaque)?
Eryhtroplasia of Queyrat
What type of in-situ lesions present as reddish papules?
Bowenoid papulosis
What are complications of cryptorchidism?
- Testicular atrophy + infertility
- Increased risk for seminoma
What is Peyronie disease due to?
Fibrous plaque within tunica albuginea
What is Penile fracture due to?
Rupture of corpora cavernosa due to forced bending
How may Peyronie disease be treated?
- Surgical repair
- Collagenase injections once curvature stabilizes
What is the cutoff for ischemic priapism?
Erection lasting > 4 hrs
What medications may cause Priapsim?
- Sildenafil
- Trazodone
What is the treatment for Cryptorchidism?
Resolves spontaneously before 2 years of age usually otherwise orchiopexy performed
