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FCP III: disorders of pen island (exam 6)

Terms in this set (28)

phimosis
prepuce stick distal to glans
symptoms of phimosis
difficulties voiding
complications of phimosis
balanitis
paraphimosis
phimosis treatment
circumcision
phimosis prevention
hygiene and circumcision
paraphimosis
prepuce stick proximal to glans and unable to be reduced
untreated paraphimosis results in...
penile necrosis
paraphimosis treatment
manual reduction of foreskin, and if unsuccessful → dorsal slit or circumcision
what to watch out for in a pt who is immunocompromised and presents with paraphimosis
Fournier's gangrene
normal physiology of erections
relaxation of smooth muscles of cavernosal arterial wall and increased venous outflow resistance
vasculogenic causes of ED
issues with arterial inflow and/or venous outflow
what endocrine disorders can cause ED
hyperprolactinemia
hyperthyroidism
hypogonadism
imaging to aid in evaluation of ED
penile duplex doppler sonography
cavernosometry/cavernosography
PDE-5 inhibitors increase/decrease cyclic GMP, which increases/decreases blood flow to penis
decreases; decreases
first line rx for ED
PDE-5 inhibitors
which PDE-5 inhibitor should be avoided if pt has pre-existing prolonged QT interval
vardenafil
What side effect is more likely to occur with tadalafil as compared to the others
back pain
Medicated Urethral System for Erection
MUSE → urethral suppository of PGE1

first dose under medical supervision due to hypotension risk
Max doses of alprostadil (Caverject, Edex)
no more than 3 doses/wk
what urologic emergency can alprostadil injections cause
priapism
priapism treatment
aspirate cavernosal blood and infuse saline, then inject phenylephrine

may require surgery
goal of priapism treatment
prevent fibrosis, loss of cavernosal tissue, and recurrent priapism
penile splint for ED
literally a splint for a mans penis
tumescent state not required...
constriction ring for ED
treatment for venous leakage
penile prosthesis
- surgical implant of rods into penile shaft to increase rigidity
- can be inflatable and non inflatable
complications of inflatable penile prosthesis
erosion, infection, auto-inflation, and mechanical failure
penile revascularization surgery indications
focal arterial occlusion of cavernosal artery
What additional things can you discuss when a pt presents with ED
CV disease prevention and lifestyle modifications
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