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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