Penile and Urethral Disorders Flashcards Preview

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Flashcards in Penile and Urethral Disorders Deck (15)
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1

Most common abnormal location of the urethral orifice

hypospadias (ventral)

2

Abnormal location of the urethral orifice that can occur in males or females. Often extends to the bladder.

epispadias (dorsal)

3

Occurs when the glans penis becomes inflamed. Sx include pain/redness of glans and thick, purulent foul smelling exudate

balanitis

4

Important to rule out in suspected balanitis because it's an urological emergency

paraphimosis

5

Foreskin is tightened and cannot be retracted behind the glans. Uncircumcised patients. Urological referral

Phimosis

6

The foreskin has been left retracted behind the glans, resulting in painful engorgement and edema of glans (possible complication of balanitis!)

paraphimosis

7

Complications of paraphimosis

glandular ischemia w/arterial occulsion and necrosis of glans

8

Treatment for paraphimosis

ice, anesthesia/sedation, draw skin over glans. circumcision definitively

9

Fibrous plaque resulting in painful curvature of erect penis/sexual dysfunction. No pain when nonerect. May follow trauma

peyronie's disease

10

Initial treatment for peyronie's disease

watchful waiting

11

condition of prolonged painful erection…“greater than 4 hours”—NOT associated w/sexual excitement or desire. if ischemic is a urological emergency

priapism

12

Condition with genetic predisposition. Present as UTI or fever in infants. Diagnosed with US or VCUG. May need surgery to re-implant ureters

ureteral reflux

13

Urethral irritation due to chemicals, infection, or manipulation. pathogen is frequently e.coli. classic symptoms are dysuria and frequency

urethritis

14

What is the work-up for urethritis?

UA, urethral smear if discharge otherwise NAAT, STI testing

15

Common cause of balanitis

yeast- do KOH