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Disorders of the Male Genitalia

Gender Health

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Vocabulary Words-Alphabetical

Balanitis-Bacterial or fungal infection in

uncircumcised males; swelling of the glans;

often seen with phimosis, in poorlycontrolled diabetes, or in Candida infection.

Balanoposthitis-inflammation of the glansand prepuce

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Cancers of the male genital

Penile-increased risk in uncircumcised

males, and with poor hygiene; HPV

infection can cause penile CA

Testicular-increased risk in cryptorchidism

with elevated testicular temperature

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Cryptorchidism-Failure of one or both testes

to descend into the scrotum Epispadius-Congenital defect resulting in

the urethra opening on the dorsum of the

penis Hydrocele-Non-tender, smooth, firm mass;

Fluid filled scrotum.

Hypospadius-Congenital defect withurethral opening on the ventral surface of

the penis, rather than on the glans

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Klinefelter Syndrome-Xxy; hypogonadism,

small scrotum, female pubic hair pattern,gynecomastia

Paraphimosis-inability to replace foreskin,

once retracted Penile Cancer- squamous cell CA; uncircum

males; painless ulceration/wont heal

Peyronie Disease- fibrous band in thecorpus cavernosum. Deviation of penis.

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Phimosis-tight foreskin; will not retract over

glans

Priapism-prolonged, often painful erection.

Idiopathic or seen with hemoglobinopathies

like sickle cell anemia, or in leukemia

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Testicular Swelling:

Torsion Epididymitis Twisting of testis on

spermatic cord

Babies to teens Acute pain

Vomiting, nausea

Scrotal discoloration Lack of cremasteric

reflex

Surgical emergency

Bacterial infection

(STD or UTI)

Teens to adults Gradual onset of pain

Fever

Dysuria, pyuria Redness of scrotum

Urethral discharge

Nodular epididymus

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Smegma-sebacious material secreted by the

glans penis and epithelium desquamatedfrom the prepuce

Spermatocele-cystic swelling of the

epididymus. Does transilluminate

Testicular tumor- usually malignant; fixed

non tender mass that does not

transilluminate.

Varicocele-dilation and torsion of spermatic

cord veins/scrotal swelling

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Common STDs

Herpes

HPV-Condyloma Acuminata-Genital warts

Chlamydia-Lymphogranuloma Venereum

Syphilis

Gonorrhea HIV/AIDS

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HPV (Genital warts)

5.5 million new cases/year in US No cure (viral)

Many people have the virus and dont know

Smoking, drug, or alcohol abuse interfereswith bodys normal defense against this virus

Soft, reddish or flesh tone raised lesions on

glans, penis, or inside urethral meatus(condlyoma acuminatum)

Causes malignant changes: Penile Cancer

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Chlamydia

(Lymphogranuloma Venerium) 3 Million new cases/yr in US

Curable

Painless erosion at or near coronal sulcus(glans) Mucous plug before AM urination

Lymph node involvement-lymphedema

Symptoms may become systemic: Scrotalswelling, fever, epididymitis

May impact fertility

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Herpes

1 million NEW cases/yr. in US

No cure; viral

Painful or itchy vesicular lesions

Lesions recur again and again

Lymphadenopathy Fever, upon initial infection (maybe)

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Gonorrhea

650,000 new cases/yr in US

Curable- antibiotics

Watery or purulent discharge from penis

Urethral meatus may be red or swollen

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Syphilis

70,000 new cases/yr in US

Curable; antibiotic therapy

Syphilitic chancre

Painless lesion

Usually on glans

2 wks after exposure lesions appear Decades later, nervous and musculoskeletal

damage

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Formative assessment

What are the 3 most common STDs in

males in the US?

List 3 curable and 3 incurable STDs

How can you tell the difference between

testicular torsion and and epididymitis?

At what age would phimosis be a normal

finding?

List one risk factor for penile cancer.

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Review questions

A patient with muscle and joint pain whose

prostate is painful and warm on palpation is

most likely suffering from _________. An elderly patient with urinary dribbling is

most likely suffering from ____________.

List 3 risk factors for prostate cancer.

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Later this term:

AIDS, a real life story