Penile & Urethral Disorders Flashcards Preview

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Flashcards in Penile & Urethral Disorders Deck (55)
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1

Disorders of the Urethra

Urethritis
Urethral stricture
Meatal stenosis
Hypospadius

2

Define Urethritis

Inflammation of the urethra

3

Causes of Urethritis

Gonorrhea
Chlamydia
HPV
Herpes simplex
Idiopathic

4

Symptoms of Urethritis in Males

Dysuria
Itching or burning at the meatus
Hematuria/hematospermia
Urethral discharge

5

Symptoms of Urethritis in Females

Frequency
Dysuria
Suprapubic discomfort
Discharge

6

Diagnostics of Urethritis

UA & culture
NAATs

7

Treatment of Urethritis

Azithromycin
Doxycycline
Alternatives: erythromycin, levofloxacin/cipro
Treat partner
Use condoms
Avoid irritants: caffeine, citric juices, tomatoes
NSAIDs

8

Define Urethral Stricture

Narrowing of the urethra with slowing of the urine

9

Two Types of Urethral Stricture

Anterior: begins at the bulbar urethra & end at the meatus
Posterior: involves the membranous & prostatic urethra

10

Etiology of a Urethral Stricture

Trauma
Iatrogenic
Infection

11

Trauma Etiology of Anterior Urethral Stricture

Straddle injuries
Penetrating injuries

12

Trauma Etiology of Posterior Urethra

Urethral disruption from pelvic fracture

13

Iatrogenic Etiology of Urethral Stricture

Catheterization
Surgical

14

Infectious Etiology of Urethral Stricture

Gonococcal
Chlamydia

15

Presentation of Urethral Strictures

Slow stream
Decreased caliber
Post-void dribbling

16

Diagnosis of Urethral Strictures

Catheter
Cystoscopy
Retrograde urethrogram (RUG)

17

Treatment of Urethral Stricture

Urethral dilation
Direct vision intra-uthrotomy (DVIU)
Urethroplasty

18

Define Meatal Stenosis

Narrowing of the opening of the urethra at the tip of the penis

19

Causes of Meatal Stenosis

Swelling & irritation after newborn circumcision
Idiopathy

20

Symptoms of Meatal Stenosis

Spraying of stream
Bed wetting
Dysuria

21

Diagnosis of Meatal Stenosis

Physical exam

22

Treatment of Meatal Stenosis

Meatonomy

23

Define Hypospadius

Congenital defect in which the opening of the urethra is on the underside of the penis

24

Presentation of Hypospadius

Spraying of urine
Having to sit down to void
Foreskin makes the penis look like it has a "hood"

25

Diagnosis of Hypospadius

Made at the time of birth with PE

26

Treatment of Hypospadius

Surgical repair (4-18 months)

27

Complications of Surgical Repair of a Hypospadius

Meatal stenosis
Fistula

28

Penile Disorders

Balanitis
Phimosis
Paraphimosis
Peyronie's Disease
Erectile Dysfunction

29

Define Balanitis

Inflammation of the glans penis
Uncircumcised men with poor hygiene most affected

30

Causes of Balanitis

Infectious: candida, chlamydia, pseudomonas, gonorrhea
Non-infectious: balanitis xerotica obliterans