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FINALS RENAL + UROLOGY > penis > Flashcards

penis Flashcards

1
Q

what is balantis

A

inflammation of the glans penis

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2
Q

common infective causes balantis

A

candidas, staph spp

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3
Q

symptoms candidas balantis

A

after intercourse, itchy, white non-urethral discharge

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4
Q

invx balantis

A

usually clinical, maybe swap, maybe biopsy

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5
Q

mx candidas balantis

A

topical clotrimazole 2 weeks

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6
Q

mx bacterial balantis

A

oral fluclox or clarithro

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7
Q

mx anaerobic balantis

A

topical or oral metrodinazole

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8
Q

mx dermatitis + circinate balantitis

A

weak topical steroid eg hydrocortisone

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9
Q

mx lichen slcerosis and plasma cell banalitis

A

strong topical steroid eg clobetasol

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10
Q

what can help mx of lichen sclerosis balantis

A

circumcision

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11
Q

symptoms circunate balantis

A

painless erosions, reactive arthritis

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12
Q

what is priapism

A

sustained erection >4hrs, not sexual

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13
Q

what is ischaemic priapism

A

impaired vasorelaxation –> build up of de-oxygentaed blood –> compartment like syndrome –> pain

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14
Q

what is non-ischaemic priapism

A

high blood inflow // fistula or trauma

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15
Q

causes priapism

A

idiopathic // sickle cell // ED ,eds eg sildenafil or PDE5 inhibitors // antihypertensives // recreational drugs

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16
Q

symptoms priapism that would suggest non-ischaemic

A

not painful, not fully rigid

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17
Q

invx priapism

A

cavernosal blood gas // USS // FBC + toxicology

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18
Q

mx ischamic priapism

A

1 = aspirate + saline flush // 2 = inject vasoconrictive eg phenylephrine every 5 mins

19
Q

what is paraphimosis

A

penis foreskin is retracted and gets stuck –> glans becomes swollen

20
Q

causes paraphimosis

A

commonly pulled back skin for catheter and not put back

21
Q

medical benefits circumcision

A

reduces risk penile cancer, UTI, acquired HIV

22
Q

medical indications for circumcision

A

phimosis, recurrent balantitis, balnatitis xerotica obliterans, paraphimosis

23
Q

what is a contraindication to circumcision

A

hypospadias

24
Q

causes urethral stricture

A

iatrogenic, STI, hypospadias, lichen sclerosus

25
Q

what is fourniere’s gangrene

A

nec fasc around perineum

26
Q

RF fourniere’s gangrene

A

diabetic using SGLT2is , acloholic, IVDU, immunosuppressed

27
Q

symptoms fournieres gangrene

A

purple, necrosis, rapidly progressive cellulitis

28
Q

mx fournieres gangrene

A

debride + IV abx

29
Q

most common penile cancer

A

SCC

30
Q

RF penile cancer

A

50-60 // phimosis // HPV // smoking // immunoC

31
Q

most common site penile cancer

A

glans

32
Q

symptoms penile cancer

A

lump or ulcer - usually painless

33
Q

invx penicle cancer

A

biopsy + USS/ MRI

34
Q

mx penile cancer

A

glans = resurfacing or glansectomy // advanced = amputation + inguinal lymphenectomy

35
Q

what is ED

A

can’t sustain an erection to fulfil sexual performance

36
Q

ED psychogenic symptoms

A

sudden onset, decreased libido, OK masturbation, major life trauma, history premature ejaculation

37
Q

symptoms organic ED

A

gradual onset, lack of tumescence (swelling), normal libido

38
Q

RF ED

A

CVD eg smoking, obesity, DM, hypertension // alcohol // meds

39
Q

what meds can cause ED

A

SSRIs and BB and thiazide

40
Q

what CV tests are performed in ED assessment

A

10 year CVD risk - lipids and fasting glucose

41
Q

invx ED

A

free testosterine in the morning –> if low repeat + FSH, LH, prolactin –> endocrine

42
Q

mx ED

A

PDE5i eg sildenafil (viagara) // vacuum erections

43
Q

what is more effective male or female sterilisation

A

male

44
Q

what follow up is needed following vasectomy

A

semen analysis x2 over 12 weeks

FINALS RENAL + UROLOGY (16 decks)

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