abnormalities of the penis, scrotum, and testes Flashcards Preview

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Flashcards in abnormalities of the penis, scrotum, and testes Deck (24):
1

what is a common cause for balanitits and balanoposthitis?

candida albicans

2

what structural abnormality can cause balanitits and balanoposthitis?

phimosis

3

what cancer is assoicated w/ phimosis?

squamous cell carcinoma

4

what is phimosis?

foreskin can't be retracted over glans

5

what to consider if someone has pain or tenderness of foreskin and chronic yeast infections?

phmosis

6

what is the treatment for phimosis?

broad spectrum abx ;

and

potentially circumcision after infection has been eradicated

7

what is paraphimosis and what what must you remember?

retracted foreskin behind glans penis in uncircumcised person, and it and EMERGENCY

8

What is the first line treatment for paraphimosis?

manual reduction IF SUCCESSFUL REFER TO UROLOGY FOR CIRCUMCISION

squeezing glans for 5 min then draw foreskin over glans

9

what do you do if a manual reduction for paraphimosis is unsuccessful?

immediate referral

10

what is the MC abnormal congenital malformation?

abnormal location of the urethral meatus

11

which urethal meatus malformation has a worse prognosis?

epispadia

12

what is a chordee?

vental curvature of penis, from short urethra or fibrous tissue around corpus spongiosum, associated w/ HYPOSPADIAS

13

What is deformed in peyronies?

fibrous disorder of the tunica albuginea

14

what is an acquired malformation from minor penile trauma?

peyronie's disease

15

patient presents w/ painful erections, but no pain when flaccid, what do you suspect?

peyronie's disease

16

what disease is peyronie's associated w/?

duputren's contracture

17

what is the treatment for pyeronies?

10% spontaneous improvement

collagenase clostridial histolyticum injection, CCB or interferon plaque injections

surgery (last resort): sexual dysfuction

18

what is a priapism?

erection >4 hrs not associated w/ sexual arousal or desire

19

what are some causes for priapism?

leukemia, sickle cell, tumors, infections, trauma

20

what do both ischemic and non ischemic priapism need?

urology consult

21

what is non ischemic pripaism?

high flow, unregulated high blood flow typically from perineal or spinal cord trauma

22

what is ischemic priapism?

venous congestion and arterial inflow cessation, ischemic injury to corpora cavernosa caused by RBC dyscrasias, drug use, ED treatments

Painful erection

large needle blood aspiration, adrenergic meds

23

what are risk factors for penile cancer?

uncircumcised, phimosis (Squamous cell carcinoma), HPV infection

24

what is mandatory if penile cancer is suspected?

biopsy is mandatory to rule out benging conditions