2 Vocabulary Words-Alphabetical Balanitis-Bacterial or fungal infection in uncircumcised males; swelling of the glans; often seen with phimosis, in poorly controlled diabetes, or in Candida infection.Balanoposthitis-inflammation of the glans and prepuce
3 Cancers of the male genital Penile-increased risk in uncircumcised males, and with poor hygiene; HPV infection can cause penile CATesticular-increased risk in cryptorchidism with elevated testicular temperature
4 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 penisHydrocele-Non-tender, smooth, firm mass; Fluid filled scrotum.Hypospadius-Congenital defect with urethral opening on the ventral surface of the penis, rather than on the glans
5 Klinefelter Syndrome-Xxy; hypogonadism, small scrotum, female pubic hair pattern, gynecomastia Paraphimosis-inability to replace foreskin, once retractedPenile Cancer- squamous cell CA; uncircum males; painless ulceration/won’t healPeyronie Disease- fibrous band in the corpus cavernosum. Deviation of penis.
6 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
7 Testicular Swelling: Torsion Epididymitis Twisting of testis on spermatic cordBabies to teensAcute painVomiting, nauseaScrotal discolorationLack of cremasteric reflexSurgical emergencyBacterial infection (STD or UTI)Teens to adultsGradual onset of painFeverDysuria, pyuriaRedness of scrotumUrethral dischargeNodular epididymus
8 Smegma-sebacious material secreted by the glans penis and epithelium desquamated from the prepuce Spermatocele-cystic swelling of the epididymus. Does transilluminateTesticular tumor- usually malignant; fixed non tender mass that does not transilluminate.Varicocele-dilation and torsion of spermatic cord veins/scrotal swelling
9 Common STDs Herpes HPV-Condyloma Acuminata-Genital warts Chlamydia-Lymphogranuloma VenereumSyphilisGonorrheaHIV/AIDS
10 HPV (Genital warts) 5.5 million new cases/year in US No cure (viral) Many people have the virus and don’t knowSmoking, drug, or alcohol abuse interferes with body’s normal defense against this virusSoft, reddish or flesh tone raised lesions on glans, penis, or inside urethral meatus (condlyoma acuminatum)Causes malignant changes: Penile Cancer
11 Chlamydia (Lymphogranuloma Venerium) 3 Million new cases/yr in USCurablePainless erosion at or near coronal sulcus (glans) Mucous plug before AM urinationLymph node involvement-lymphedemaSymptoms may become systemic: Scrotal swelling, fever, epididymitisMay impact fertility
12 Herpes 1 million NEW cases/yr. in US No cure; viral Painful or itchy vesicular lesionsLesions recur again and againLymphadenopathyFever, upon initial infection (maybe)
13 Gonorrhea 650,000 new cases/yr in US Curable- antibiotics Watery or purulent discharge from penisUrethral meatus may be red or swollen
14 Syphilis 70,000 new cases/yr in US Curable; antibiotic therapy Syphilitic chancrePainless lesionUsually on glans2 wks after exposure lesions appearDecades later, nervous and musculoskeletal damage
15 Formative assessmentWhat are the 3 most common STDs in males in the US?List 3 curable and 3 incurable STDsHow 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.
16 Review questionsA 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.