Week6- Male Reproductive System: Disorders of the Penis

About this set

Created by:

allicen  on August 16, 2011

Subjects:

pathophysiology iv

Description:

hypospadias/ episapadias

phimosis/ paraphimosis

priapism

peyronie's disease

balanitis/ balanoposthitis

cancer of the penis

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Week6- Male Reproductive System: Disorders of the Penis

hypospadias
1/500 males
termination of urethra on Ventral surface of penis
no corpus spongiosum enclosure
1/18
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Definitions

hypospadias 1/500 males
termination of urethra on Ventral surface of penis
no corpus spongiosum enclosure
epispadias termination of urethra on Dorsal surface of penis
phimosis tightening of foreskin that prevents its retraction over the glans
paraphimosis foreskin is so tight and constricted that it cannot cover the glans
leads to ischemia of the glans
priapism definition involuntary prolonged and painful erection
not related to sexual excitement
may last more than 24 hours
priapism incidence peak age 5-10 and 20-50
priapism low flow mechinism static or ischemic blood flow in corpus cavernosum --> fibrosis --> impotence
priapsim high flow mechinism non-ischemic, persistent blood flow into corpus cavernosum
priapism primary classification tumor infection, trauma
priapism secondary classification hematologic disorder- stroke (plaque interferes with blood flow), drugs, antidepressants, antihypertension medication (vasodilation)
Peyronie's disease cause/onset unknown cause
middle-age or elderly
Peyronie's disease pathogenesis localized and progressive fibrosis of tunica albuginea of corpus cavernosum -->plaque --> calcification
Peyronie's disease complications painful and difficult intercourse due to
prevention of lengthening of the affected area during erection
balanitis acute or chronic inflammation of glans penis causing pain, swollen inguinal lymph nodes, malodorous discharge
balanoposthitis inflammation of glans penis and prepuce
causing pain, swollen inguinal lymph nodes, malodorous discharge
balanitis/balanoposthitis cause overgrowth of bacteria, secretion, smegma (dead cell) in male with phimosis or redundant prepuce
cancer of the penis cause/onset unknown cause, possibly due to poor genital hygiene and phimosis
age 40-60 (1% in U.S.)
cancer of the penis manifestations lump or painful ulceration over the penis
swollen inguinal lymph nodes

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32.4 secs by richie_vu