Male Common Conditions

Question 1

Hernias
Hydrocele
Penile enlargement (w/o testicular enlargement)
Epispadius (may need to be repaired)

Answer 1

children concerns

Question 2

Balanitis
Lesions on penis, glans, etc (STDs)
Irregular testicular, vas deferens or epididymus texture
Penile discharge
Priapism

Answer 2

Adults/Older Adults

Question 3

Foreskin can not be fully retracted over glans

Answer 3

Phimosis

Question 4

Inability to replace foreskin after retracted

Answer 4

Paraphimosis

Question 5

Congenital defect. Urethral meatus is located on the dorsum of the penis

Answer 5

Epispadius

Question 6

Congenital defect: embryological development of the urethra, 8-20 weeks gestation. Urethral meatus is located on the ventral surface of the penis

Answer 6

Hypospadius

Question 7

Fibrous band in the corpus cavernosum. Interferes with expansion during erection

Answer 7

Peyronie Disease

Question 8

Prolonged, often painful erection. Sickle cell Leukemia

Answer 8

priapism

Question 9

inflammation of the glans

Answer 9

balanitis

Question 10

Balanitis involving the foreskin and prepuce

Answer 10

balanoposthitis

Question 11

Painless lesion that fails to heal. May present as: Reddened area, Papule or pustule, Warty growth, Shallow erosion, Deep ulceration

Answer 11

penile CA

Question 12

Irregular, non-tender, fixed mass in thetestis. Does not transilluminate

Answer 12

Testicular Cancer

Question 13

testicular CA arise from germ cells (sperm-producing cells)

Answer 13

semimomas/nonseminomas

Question 14

arise from supportive and hormone producing tissue

Answer 14

non germ cell tumors (testicular CA)

Question 15

Failure of one or both testes to descend into the scrotum

Answer 15

cryptorchidism

Question 16

Hypogonadism, small scrotum
Diminished pubic, axillary, and facial hair. Gynecomastia. Tall stature, long legs, short trunk. Differences in physical, language, and social development

Answer 16

klinefelter syndrome (xxy)

Question 17

Fluid accumulation in the scrotum

common in infancy

Answer 17

hydrocele

Question 18

Benign cystic accumulation of sperm occuring on the epididymis

Answer 18

spermatocele

Question 19

Tortuosity and dilation of veins within the spermatic cord

Answer 19

varicocele

Question 20

Acute inflammation of the testis secondary to infection

Answer 20

orchitis

Question 21

Inflammation of the epididymus

Answer 21

epididymitis

Question 22

Twisting of testis on spermatic cord; surgical emergecy

Answer 22

testicular torsion

Question 23

Soft swelling or bulge in inguinal area. May have pain on straining

Answer 23

hernia

Question 24

Bulge in area of Hesselback triangle. Easily reduced. Hernia bulges anteriorly, pushes against side of finger on examination

Answer 24

direct hernia

Question 25

Soft swelling in area of internal ring; Hernia comes down canal and touches fingertip on examination. Large hernia may be present in scrotum

Answer 25

indirect hernia

Question 26

Usually a congenital anomaly though most are first diagnosed in young adults. Loose hairs penetrate the skin (sacrococcygeal region). Local inflammatory reaction causes cyst to form. Excessive pressure or repetitive trauma

Answer 26

Pilonidal cysts

Question 27

HPV infection. Patients may be unaware. Single or multiple papular lesions. May be pearly, filiform, fungating (ulcerating and necrotic) cauliflower, or plaquelike

Answer 27

Anal Warts (Condyloma Acuminata)

Question 28

``` Anal cancers are skin cancers MC squamous cell carcinomas Associated with HPV 15% adenocarcinomas Basal cell carcinoma, malignant melanoma ```

Answer 28

Anal Carcinoma

Question 29

``` > 50 years of age Infection with HPV Multiple sexual partners Having receptive anal intercourse Frequent anal redness, swelling, soreness Anal fistulas Smoking Immunosuppression ```

Answer 29

anal CA risk factors

Question 30

infection of the soft tissues surrounding the anal canal, with formation of a discrete abscess cavity. Tender swollen fluctuant mass in the superficial subcutaneous tissue (adjacent to the anus)

Answer 30

Perianal abscess

Question 31

infection of the mucus-secreting anal glands. Abcess forms in the deeper tissues. Tender mass Indurated, fluctuant, or draining

Answer 31

perirectal abscess

Question 32

Inflammatory tract, from the anus or rectum and opens onto the surface of the perianal skin Caused by drainage of a perianal/perirectal abscess

Answer 32

Anal Fistula

Question 33

Adults: fungal infection Children: parasites Anal burning, itching May interfere with sleep Excoriation, thickening, and pigmentation of anal and perianal tissue may be noted upon examination

Answer 33

Pruritus Ani