Basic disease of the penis

Diseases of the penis or the penis in males and their treatment

Penis - a very vulnerable place. Diseases of the penis are from 10 to 15% of the primary applications for medical specialist. The list of diseases is wide.

All diseases are conditionally subdivided into several etiological groups - infectious-inflammatory, dermatological, oncological and viral diseases as well as disorders of connective structures tissue.

In the variety under force only to understand the doctor. Consider what the penis diseases occur most often?

Common symptoms of illness of a member

Genital diseases - a large group of pathologies, which are accompanied by a variety of clinical manifestations. It is impossible to clearly define the list of signs and symptoms that are consistent with all diseases of the penis, without exception.

Symptoms penile diseases which are present in various combinations with each pathology:

• soft tissue swelling of the reproductive organ, head, foreskin, scrotum;
• Swollen lymph nodes in the groin, the add tenderness;
• Pain in the phallus during erection and during standstill;
• Discomfort or pain during intercourse (such symptom may indicate several pathologies male advantages that occur simultaneously);
• Erectile dysfunction. This term represents a group of symptoms that may occur together or separately. These include a dramatic reduction of potency, decrease or lack of sexual desire, uncontrolled ejaculation, poor erections, making it impossible to commit the sexual act, etc .;
• The presence of physiological concentrations under the foreskin - mucus a whitish bloom, pus;
• head inflammation genitals, occurring with swelling and pain;
• Violation of the urethral process. In the process of voiding a man feels the pain, burning and stinging;
• Phallus deformation changes, such as body curvature to the right or left, shortening, etc .;
• Tumor formation, which can be palpated or visually determine, for example, at one point the penis became larger on palpation felt swelling.

The main types of diseases of the penis

So, what kind of disease the penis there? In clinical practice, pathology conditionally divided into large groups.

These include infectious and inflammatory diseases where inflammation is due to infection; dermatological diseases, such as thrush, contact dermatitis, an allergic reaction.

As well as oncology - cancer; viral diseases - genital herpes; connective tissue disease.

Peyronie's disease

The pathological process in the organism appears curvature of the penis on the background field during erection. In the presence of such a defect is impossible or difficult to enter into the vagina that interferes with normal sexual intimacy.

Peyronie's disease is acquired and innate character. In the first case are the cause of injury, chronic diseases, in the second embodiment boy born with curved body, but this occurs only at puberty.

Deformation of the body takes place gradually, some for several years. On the penis appear dense plaques, composed of connective tissue. They are deposited calcium salts. Reproductive organ is deflected to the side, when the center expands.

phimosis

When phimosis is not possible to baring the head of the penis.

When you try to perform a given action is present pain is a high probability of injury - cracks, breaks, that provokes a worsening picture.

The main causes include genital organ injury, inflammation, decreased immune status of diabetes mellitus, and other dermatological diseases.

The main symptoms of phimosis is the inability to expose the head of the penis. 3-4 stages of the disease there are problems with urination - Urine flows slowly, the pressure of urine is weak or altogether out of droplets. From the opening of the foreskin may be pus.

balanoposthitis

The common disease of the skin covering the penis induced by intense inflammation. In clinical practice, pathology refers to the "dual disease", as it affects not only the head of the body, but also the inner leaf of the foreskin. Clinical manifestations varied, they are caused by a form of pathology and etiological factor.

Balanoposthitis develops due to virus activity, fungi, bacteria and even parasites (this form is extremely rare). Predisposing factors include sexual promiscuity, lack of hygiene, concomitant diseases, contact with chemicals (the use of cosmetic products).

Symptomatology manifests itself by the following features:

1. Pain in the penis, the perineal region.
2. Redness of the skin in the groin.
3. Swelling of the penis, scrotum.
4. Rash, burning and itching.
5. Difficulty urinating.
6. Nonspecific discharge from the urinary canal.
7. General malaise and so on.

serangitis

Inflammatory disease which is accompanied by an organic lesion corpus cavernosum reproductive body, whereby seals are formed painful. It is an acute and chronic form. The second option is developed due to lack of treatment of the first type.

Causes:

• Complications of urethritis;
• Injury of the urethra to the corpora cavernosa damage;
• Surgical intervention in the area of ​​the penis;
• The trauma of the phallus;
• Effects of certain sexually transmitted diseases.

Cavern accompanied by local and systemic manifestations. Man experiencing severe pain in the groin, often pulsating character. This is because in the cavernous bodies going pus, which presses on the wall of the add. There is an increase of the temperature regime of the body, weakness, apathy, chronic fatigue, headache, increased sweating.

Urethritis

Inflammation in the urethra develops due to hypothermia, sexual trauma, calculi in the kidneys. Predisposing factors include poor diet, alcohol abuse, poor immune status, dehydration, intake of certain medications, surgery in the genital area.

The dominant symptom of illness of a member - the pain that is associated with the process of urination. Also present are uncharacteristic discharge from the urinary canal. The disease often becomes chronic, thereby constantly detected relapses.

Other diseases of the penis

Short frenulum - a pathological condition which is associated with a decrease in skin elasticity in the bridle. When erection man feels tension, discomfort or pain manifests. Often bridle during intense sexual intercourse breaks.

Tumor formation in the penis can be benign or malignant. In the presence of the seal is required to see a doctor immediately. The earlier treatment starts, the greater the likelihood of a favorable prognosis.

Other diseases of the member include:

1. Lymphangitis, thrombophlebitis, post.
2. Priapism (prolonged and painful erection).
3. Leukoplakia.
4. Injury.
5. Fibrosis of the corpora cavernosa.
6. Abnormal development.

Dermatological diseases manifested penis pimples, rash, erythema. Vesicles tend opened, whereby the detected erosive and ulcerative lesions that bring discomfort to the patient weight.

To what doctor to contact the penis when the disease?

Diagnose disorders of male bodies and assign them to treatment can only medical specialist. But what doctor to contact? In a situation where there is damage to the penis, it is required without delay to visit a trauma surgeon. The penis can not break, but it is easy to damage, which leads to serious complications with male health.

When there are various rashes, peeling, and sores on the phallus, it can be assumed venereal diseases. The treatment takes venereal disease. It takes in STI clinics.

If there is inflammation of the penis, painful urination, and others. symptoms, it is best to seek help from a urologist or andrologist. Andrologist have not each medical institution, so you can visit a private clinic. When genital varicose veins, you need help or phlebologist angiohirurga.

In the case where a man does not know to what doctor to address with its symptoms, it is recommended to visit a urologist. The medical specialist will gather medical history, do a physical examination of the patient. If the disease is in its profile, appropriate treatment; when the disease is its competence, give referral required specialization.

There are many abnormalities of the penis in men. Each group of diseases accompanied by certain symptoms and negative consequences. They affect not only the quality of erections, but also provoke systemic complications.

A source: https://ManExpert.ru/andrologiya/zabolevaniya-polovyh-organov/bolezni-polovogo-chlena.html

How to recognize a skin disease of the penis?

The skin of the penis - a very vulnerable place. Diseases foreskin and other areas of the penis dermal layer ranges from 5 to 15% of all men primary references to the urologist or dermatologist. The list of diseases is wide. All diseases can be divided into several groups:

• infectious inflammatory pathology (the largest group);
• connective tissue disease;
• dermatologic pathologies profile;
• oncological diseases;
• viral diseases.

To understand such a manifold may only specialist diseases.

penile skin is very vulnerable

The list of possible diseases of the penis

Here are the most common problems that men turn to a specialist.

Contact dermatitis

One of the most common diseases of the skin of the penis. Contact dermatitis - inflammatory and degenerative disease of the dermis and the foreskin, which is formed as a result of irritation. In the course of the pathological process note:

• redness of the affected area;
• itching;
• burning (intense desire to comb the area of ​​the skin);
• in severe cases, the dermis ulcerate, form moist areas of irritation.

However, despite all the discomfort, danger to life and health of such a state is not. Contact dermatitis is caused by the uncomfortable wearing underwear dense and continuous mechanical action on dermal layer penis.

Genital herpes

Main article: Genital herpes in men

It provoked by the second type of herpes virus. In the course of the pathological process in the foreskin, and other parts of the dermis, forming red spots that later few days later transformed into papules, filled with serous fluid, dead herpes viruses and leukocytes (Pus). After a few days of ulcerative defects are formed in the penis, which strongly itch.

Distinguish from herpes dermatitis can be the nature of lesions. Herpes, they look like bubbles to the same time seize more and more areas of the dermal cover. When the skin is dermatitis compacted rough covered by red spots.

Transmitted genital herpes is sexually transmitted through unprotected sexual intercourse. When delayed therapy or "sagging" immunity papules are formed on the lower abdomen, buttocks, covering more and more areas of healthy skin.

Herpes - one of the most common diseases of the skin of the penis

Psoriasis

Develops in this area more often. Similar trends observed in the running phase of the disease process.

The penis is covered with reddish scaly plaques that in the subacute stage become pale and greyish or beige in color. The surface stains filled with silvery scales.

Psoriasis on the penis over time captures the whole body, separate lesions merge to form new foci. This is an extremely painful disease, because early treatment is required.

Other forms of dermatitis

Contact dermatitis from a different origin. Dermatitis can be:

• allergies;
• infectious;
• viral;
• and other.

In all cases, symptoms are identical.

Syphilis

Main article: Syphilis in men

The disease is transmitted through sexual strictly. More rare cases of transmission in other ways. In the first stage of disease in areas of the skin of the penis or painless seal head formed: so-called a chancre.

The dermis around the lesion may grow and become larger in size (visually due to local inflammation). After some time a chancre ulcerate and become the gateway of infection. At the same time all of the disease it does not cause much discomfort to the patient.

After another certain period of time passes without a trace chancre. It begins the next stage of syphilitic lesions. Next on the penis begins to form a massive rash of red spots painless. This is a non-specific symptom. Possible to peel the skin on the penis.

In the same period, an increase of local lymph nodes.

If left untreated syphilis, a few years later it leads to the formation of so-called organ gummas. This painful seal which revealing form fistulae and deep ulcers. In case of untimely treatment is quite possible necrosis of the penis and loss of sexual function.

papillomatosis

As a rule, in the form of penis warts. They look like hanging on long legs soft formation, painless on palpation. Treating them operative. Since the structure have great tumor oncogenic potential of required speedy removal.

Melanoma (skin cancer)

It was relatively infrequent. Her most prone sunbathers naked on the beaches and tanning salons. Melanoma appears as a dark spot of irregular shape, slightly elevated above the skin. This is again a sign of non-specific, evidence in favor of the pathogenic process, but it is unknown what genesis. The point in question is designed to put the diagnosis.

penile skin cancer can be cured if the diagnosis in the early stages

Squamous skin cancer

Looks like a section of darker skin, with jagged edges, sometimes with ulcerations.

Diagnostics

Disease delimit from each other only by means of specific diagnostic measures. It is recommended to consult a dermatologist or a dermatologist. Ashamed to contact venereologists not worth it - more health false pride.

During the initial reception expert spends oral questioning the patients determines the nature and recency complaints reveals typical manifestations of disease by visual assessment of the anatomical structures. a series of specific research is required:

• General analysis of blood.
• Urinalysis.
• Dermoscopy (inspection of the foreskin, dermis and the affected areas with the help of a special apparatus, Dermatoscope).
• Taking scrapings from the skin of the penis for cytology. Accurate diagnosis is made after the laboratory tests
• When suspected cancerous lesion shown biopsy followed by histological examination of tissue and cell structures.
• Swabs from the urethra.
• ELISA diagnostic PCR. In the first case, blood is investigated for the presence of specific immunoglobulins in its structure, in the second - the intended DNA revealed the causative agent.

At the discretion of the physician can assign additional research.

Treatment

Treatment is aimed at addressing the root causes of disease. Can be assigned:

• antibiotics;
• topical anti-inflammatories;
• glucocorticosteroid ointments;
• antiseptic preparations (such miramistinom);
• antihistaminic drugs.

Specific preparations, as well as their doctor name selected based on the state of the patient and the type of pathological process. In exceptional cases (malignant tumor dermis) operation is shown.

Diseases of the skin of the penis are numerous. Understand them only by a skilled artisan based on the results of surveys. Thus the patient can rely on rapid diagnosis and appointment of adequate therapy.

Recommended viewing:

A source: http://MenQuestions.ru/urologiya/kozhnye-zabolevaniya-polovogo-chlena.html

Diseases of the penis: how to diagnose and treat?

It is difficult to overestimate the importance of early diagnosis and initiation of treatment diseases of the penis.

Thus, the appearance of symptoms, pain or unusual situations, which may be expressed in discomfort during sexual intercourse, urination, in pain, or other problems, consult your doctor urologist.

First of all professionals to assess the symptoms, then carry out a visual inspection to determine the method of using palpatsionnogo anatomy, physiology of sexual organs, as well as set the size of the prostate gland, will determine the possibility of its inflammation.

What diseases are penis?

Classify all diseases of the penis can be in several groups:

Anomalies can be associated with the physiological hereditary component. But I do not believe that such problems can not be corrected. Some of them appear in adulthood and are subject to a full correction, usually by surgery. For example, the veins are arranged so that during erection occurs clamping.

Infectious inflammation occur against the backdrop of ingestion of bacteria (Sometimes venereal disease) and their progression. Treatment may involve the appointment of special drugs, antibiotics, anti-inflammatory agents.

Tumors can also develop inside the cavity of the penis. There are both benign and malignant tumors. Typically, the treatment depends on the stage of cancer development.

The first actual drug ingestion, with a second chemotherapy and possibly surgery. In the third stage of the operation are combined with chemotherapy or radiotherapy.

In the fourth step the operation rarely appointed.

When injuries of physical objectsIt may form anomalies. They arise against a background of inflammation, tears, and other reasons. Removal of those can be performed using anti-inflammatories, antibiotics.

Sometimes among the diseases of the penis there are some that related to the underdevelopment of genitals. Mostly they are treated by hormone therapy. The same method is relevant in tumors.

Symptoms and causes of disease

Symptoms and causes of diseases of the penis depends on the characteristics and the name of the disease.

Common symptoms are:

• swelling of the soft tissue of the penis;
• hyperemia (skin becomes red, bright, inflamed in appearance);
• at rest, a man begins to feel pain in the penis, but when he gets up and starts to be active, the pain goes away;
• pain during an erection during sexual intercourse (in which case there may be not only the penis of the disease, but in general the urine-genital system - requires detailed diagnostics);
• sexual dysfunction (in the absence of potency, its worst manifestation, when the sexual act lasts for a short time due to certain reasons, which are related to the penis);
• smegma under the foreskin;
• problems with urination;
• curvature deformation that outwardly visible;
• shortening;
• growths that become visible (the volume of the penis in a certain place becomes more appear uncharacteristic for the health of the hills).

The reasons are also quite different. In some cases the cause becomes associated disease, for example, venereal (syphilis).

Also injury and contribute to the deformation of the penis disease development. Injury is especially important in sports, performing duties connected with the difficult physical work. Sometimes the disease centered around a hormonal system problems.

For example, there is a shortening of the length of the penis due to hormonal imbalance, while significantly reducing levels of testosterone (male sex hormone).

Inflammation of the urogenital system - another cause of diseases of the penis. Most often, inflammation of the focus in the area of ​​the head, under the foreskin. There you can develop gonorrhea and other problems, the withering away of the flesh, which would entail the need for amputation. However, this is an extreme, a very rare outcome.

Poor blood circulation - a common cause of stagnation, pain, erectile problems. Radiation and poor working conditions that involve regular contact with hazardous substances, can cause abnormal development of reproductive organs.

pathological consequences

pathologies of the consequences may be as follows:

Much here depends on how the disease develops.

So often found the following diseases of the penis:

Video: "Infectious diseases of the penis"

Diagnostics

The first diagnosis begins with the examination of the patient. Then the doctor performs palpatsionnoe study - also checks the prostate, looking at the whole genitals, looking for the relationship between abnormalities.

Appointed by laboratory tests - the patient is losing blood, urine, semen analysis goes.

Along with this it has to be assigned to an ultrasound examination of the penis, which helps to accurately determine the state of the internal cavity of the body.

If this is true, it is assigned to X-rays.

Also, one of the most effective methods of investigation - a MRI (magnetic resonance imaging).

To what doctor to address?

You can refer to a urologist or andrologist. Both of these experts are engaged in treatment of diseases of the genitourinary system.

Tests at inspection

Analyzes need to pass the following:

• general blood analysis;
• general urine analysis;
• semen.

The first two tests allow us to determine whether there is in the body and inflammation in general what is the condition of internal organs, whether the processes that can lead to pathologies. Semen analysis helps to examine the composition of the sperm, which partly reflects the reproductive sphere.

Treatment

Depending on the disease following procedures are assigned:

• compresses, based on the use of drugs;
• surgery.

It can also be individually assigned to the accompanying procedures, if their high efficiency.

Medication

Actual use of the following medications:

• antiviral agents;
• hormone therapy;
• anti-inflammatories;
• antifungal tablet;
• antibiotics.

Video: "Treatment of cancer of the penis"

Surgery

In surgical treatment, such as phimosis, a small incision is made, through which cut the foreskin.

When the tumors also made a small incision and removed tissue affected by the tumor.

In general, surgical treatment of the penis usually ends favorably and with proper conduct of the procedure the patient's sexual function is restored.

Also, the category of surgical methods may include amputation with tissue death and severe inflammation, suppuration.

ethnoscience

Traditional medicine makes it possible to promote the restoration of the penis. For example, commonly used pumpkin seeds, ginger, propolis (honey). However, antibiotics, hormones and anti-inflammatory drugs, which act actively, folk remedies can not replace.

If a problem develops quickly, can not linger. As for the rest, on the basis of herbs, honey, seeds, ginger root often make tinctures, decoctions, compresses.

prevention

Prevention advantageously covers measures to protect against injury, harmful influences (chemical agents, radioactive radiation), conducting a regular sexual life, treatment of diseases occurring in the body, preferably genitourinary system.

Total

• There are many diseases of the penis, Whose main symptoms - swelling, redness, pain.
• Diseases treated by hormonal therapy, anti-inflammatory agents, antibiotics, operations.
• Diagnosis is made as follows: specimen collection, and palpatsionnoe visual examination, ultrasound, magnetic resonance imaging.
• There are methods folk therapy, but the use thereof is recommended as an auxiliary.

A source: https://kakbyk.com/bolezni/patologii-moshonki/zabolevaniya-polovogo-chlena-kak-diagnostirovat-i-lechit.html

Diseases of the penis

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Any normal man with a penis problem is brought into a state of anxiety and fear.

In our clinic, you will be able to consult with an experienced doctor - urologist, andrologist, venereologist, as well as a complete diagnosis and get treatment for almost any illness penis.

Diseases of the male sexual organ are quite numerous, but depending on the cause can be divided into the following groups:

• Infectious and inflammatory diseases (urethritis, balanitis / balanoposthitis, and various skin lesions and neoplasms of the penis resulting STD)
• Diseases caused by abnormal development
• Tumors of the penis
• Injuries of the penis

What are the symptoms of diseases of the penis?

As a rule, the penis of the disease manifest themselves quickly enough. Delay the visit to the doctor is not recommended: early onset of diagnosis and treatment is always the key to successful treatment.

Symptoms of the disease of the penis:

• Penile pain at rest and pain during erection or intercourse
• Swelling, swelling of the penis
• redness of the skin and / or head of the penis
• Deformation (usually the curvature) of the penis
• Any education on the penis
• disorders of urination
• sexual dysfunction

How are diagnosed with the disease of the penis?

At the reception, urologist, andrologist will conduct a detailed examination of the penis with palpal

According to the survey results and interviews with the patient and prescribe take all the necessary laboratory tests. Direct the ultrasound diagnostics of the penis, which will hold a US doctor here in the clinic. If necessary, give the direction of the X-ray examinations and MRI.

What diseases of the penis are the most common?

Balanitis (balanoposthitis) - this inflammatory disease. Affected the foreskin of the penis head.

Balanoposthitis may result from such STDs such as syphilis, chlamydia, trichomoniasis, candidiasis, mycoplasmosis.

Symptoms - burning sensation, itching, cracking of the foreskin, yellow, or white patches on the head, red spots may appear on the skin. Depending on the pathogen is carried out antibacterial treatment.

Ulcers, erosions on the penis - a very serious symptom of a number of diseases (syphilis, genital herpes, balanoposthitis candidiasis, Fournier gangrene, scabies, flat and sclerosing zoster, genital cancer member).

Warts of the penis stimulates the human papilloma virus types 6 and 11, abbreviated as HPV 6, 11. In men, genital warts are often located on the penis and scrotum. Sexually transmitted warts. During this disease depends on the characteristics of the immune system: the disease can recur. Warts treated by radical - removal with obligatory correction of immunity.

Urethritis - inflammation of the urethra (the urethra). Depending on the cause of urethritis are divided into infectious and non-infectious. Urethritis Infection - the result of agent penetration into the urethra.

Infectious agents can be both specific (e.g., gonococcus, Gardnerella and the like) and non-specific pathogen (staphylococci, streptococci, E. coli). Most often infection occurs through sexual contact.

Noninfectious urethritis usually the result of trauma. The urethra is often injured during cystoscopy, catheterization, passing the rock or sand in urolithiasis.

Phimosis - a narrowing of the foreskin. Glans penis opens with difficulty. Phimosis may be physiological phenomenon (y male births), which extends itself.

Pathological phimosis can be congenital or acquired.

Severity distinguish four degrees of phimosis. First degree - narrowing of the foreskin occurs only during an erection. The second - the opening of the head is difficult and without an erection, and erect head is fully closed. Third degree - the minimum opening of the head. The fourth and most severe degree - the head is not completely laid bare, urine is released drop by drop.

Phimosis treated only by means of a scalpel. In our clinic, we advise an experienced surgeon-urologist.

Cavern - in this disease occurs inflammation of the cavernous (cavernous) bodies of the penis. The reason - the damage to the penis or inflammation in the urethra.

When the cavern temperature rises sharply to 39-40, begins chills, weakness, pain in the joints. The penis swells, there arise sealing (infiltration), touching which cause pain.

Access to a doctor should be immediate, as in the acute form followed by hospitalization.

Peyronie's disease - curvature of the penis. This deformation occurs gradually, for about two years, resulting in the appearance of the skin of seals (Peyer's patches). This seal consists of dense connective tissue, and it is gradually deposited calcium salts. The penis is deflected towards the proliferation of similar focus.

Curvature of the penis may be due to other causes. For example, when the development of the corpora cavernosa of the penis is uneven, a member deviates to the right or to the left.

Cancer of the penis is rare. There is a theory that the probability of penile cancer is lower in men who have been circumcised in childhood or early childhood.

Here are some predisposing factors (pre-cancerous disease):

• phimosis (narrowing of the foreskin)
• chronic balanoposthitis (inflammation of the head and the foreskin)
• xerotica balanitis obliterans (for this disease is characterized by the appearance of white spots, wrinkling of skin of the penis)
• HPV - types 16 and 18, 6 and 11
• cutaneous horn of the penis - compacted, thickened skin (usually appears at the site of injury, moles, etc.)
• erythroplasia Kern - redness of land with clear contours on the head or prepuce
• Bowen's disease, often occurs as comorbidity in cancer of internal organs; manifests itself in the form of red plaques on the glans penis

Remember that the disease of the penis, in most cases it is easier to prevent than to cure!

In our clinic urologist, andrologist, dermatovenereologists taken daily, without holidays and weekends, from 10 to 21.

Reception in our clinics every day from 9.00 to 21.00

The SAD and the South-West - Warsaw metro, Kakhovskaya, Sevastopol - Str. Bolotnikovskaya house 5 Bldg 2, tel. 8-499-317-29-72

A source: https://www.academy-health.ru/stati/bolezni-polovogo-chlena/

Diseases of the penis (p. 1 of 2)

MEMBER OF SEXUAL DISEASES

Diseases of the penis itself, for the most part caused by the defeat of the foreskin. There are infections, including sexually transmitted diseases through, and psychosexual disorders (they are in this chapter are not considered).

Pathology head of the penis and foreskin

phimosis

Phimosis - a narrowing of the opening of the foreskin, in which it is impossible to expose the glans penis. Normally, a newborn inner surface of the foreskin and the glans penis is not disconnected.

As the child grows the foreskin becomes mobile, its cavity is finally formed to 6 years. forcible liberation of the glans penis is not recommended until this age.

If to 7 years in the foreskin is fixed and there is balanitis, showing its circular excision - circumcision.

Phimosis is a congenital (rare) or acquired.

Acquired phimosis may be temporary (e.g., acute balanoposthitis) and persistent (chronic balanoposthitis with cicatricial changes).

When the cavity phimosis foreskin during urination is stretched due to falling in her urine, there may be difficulties during intercourse.

Treatment

For temporary phimosis caused by acute balanoposthitis, used corticosteroid ointment. In cicatricial phimosis shows a circumcision.

paraphimosis

Paraphimosis - it's infringement of the glans penis narrow foreskin. Usually occurs between the ages of 6-12 years. Accompanied by phimosis occurs during erection or after bladder catheterization, observed glans swelling, severe pain, to shift back the foreskin can not.

Treatment

Urgently needed reduction of the glans penis, which is usually performed without anesthesia. If anesthesia is still carried out in local anesthetic epinephrine is not a solution.

Method 1.

- To reduce swelling glans a few minutes gently squeeze member. Then, pressing your thumbs on the head, demonstrative shifting foreskin (Fig. 86.1).

Method 2.

- head from the penis is wrapped with gauze or towel, grasp and squeeze in a fist (Fig. 86.2). When the head is reduced in size, shifted the foreskin.

Method 3.

- If the head of the penis to straighten fails, then surgery is indicated. Under local or general anesthesia prejudicing ring sectioned in the dorsal surface. After surgery, the swelling subsides, and the foreskin is pulled loose on the glans penis. After decrease in acute effects produced circumcision.

Balanitis (balanoposthitis)

Balanitis - an inflammation of the glans penis. Balanitis is usually combined with inflammation of the inner layer of the foreskin (balanoposthitis). The most frequent pathogen - Candida albicans. The first manifestations - redness and burning sensation in the glans and foreskin - usually caused by poor hygiene. Later joined by a bacterial infection.

Infants balanoposthitis caused by untimely change diapers in the elderly balanopostit - is one of the complications of diabetes.

When balanoposthitis exclude:

diabetes,

Reiter's syndrome.

Treatment

Sowing separated from the glans penis and the inner layer of the foreskin.

Thorough toilet of the glans penis and the foreskin.

Antimicrobial therapy:

- fungal infection - locally nistatinovaya, mikonazolovaya klotrimazolovaya or ointment,

- trichomoniasis - metronidazole or tinidazole inside,

- bacterial infection - antibiotic therapy, for example chloramphenicol or hlortstratsiklin.

In cases of recurrent balanoposthitis - circumcision.

Thickening and pallor of the skin of the foreskin - a sign kraurosis penis. In the early stages of effective topical application of corticosteroid ointments.

Hygiene foreskin

Up to 5 years toilet foreskin is not carried out. Starting from 6-7 years should be at least once a week, gently expose the glans penis, and wash it with warm water.

advice to patients

Taking a shower or bath, do not forget about the toilet foreskin.

Carefully bare head of the penis (Fig. 86.4), wash your glans and foreskin with soap and water, wipe dry, then close the head foreskin.

When unpleasant odor, burning and redness of the head or foreskin uncover the glans penis every time you urinate.

circumcision

Circumcision is carried out at the anomalies of the foreskin and for religious reasons (circumcision).

An operation for social reasons is not recommended, explaining it is unnatural, unnecessary, risk operations, the possibility of stenosis of the external opening of the urethra. Currently, the circumcision is performed less frequently than in the past.

Supporters surgery believe that it decreases the accumulation of bacteria near the urethra, reducing the risk of sepsis, penile cancer and sexually transmitted diseases through.

Medical indications for surgery is considered phimosis, paraphimosis, recurrent balanoposthitis. Contraindicated during circumcision hypospadias, because the skin of the foreskin can be used for plastics.

Unlike circumcision cut foreskin leaves the cosmetic defect, so it is used only in emergencies.

Pathology external opening of the urethra

Stenosis of the external opening of the urethra

Stenosis of the external opening of the urethra is congenital or acquired. In adults, the most common cause of the disease - trauma during catheterization.

Stenosis can occur after circumcision resulting ulceration of the glans penis, the risk of stenosis in this case is reduced by topical application of petrolatum.

Rare causes include damage to the stenosis of the external opening of the urethra at the time of circumcision.

Characterized urodynia and discharge of blood from the external urethral orifice.

With a slight stenosis in a child made probing the external opening of the urethra. In marked stenosis produced meatotomy.

hypospadias

Hypospadias - malformation, wherein the external opening of the urethra is located either on the ventral surface of the penis, scrotum or in the region or in the perineum. Prevalence - 1: 300 men. Golovochnuyu isolated (most common), okolovenechnuyu, a stem and a crotch hypospadias [W].

When hypospadias urine flow is deflected downward or drips is sprayed on the penis. In all forms of hypospadias, except golovochnoy shown angioplasty.

Excised fibrous cord between the external opening of the urethra and the glans of the penis and use the skin of the foreskin, close the defect; then produce plastic urethra,

epispadias

Epispadias - malformation, wherein the external opening of the urethra is located on the dorsal surface of the penis. Prevalence - 1:30 000 men. Very often epispadias accompanied by urinary incontinence due to dysfunction of the sphincter of the bladder.

genital warts

Genital warts - a multiple warty growths, which are located along the neck glans penis, on the inner layer of the foreskin around the external opening of the urethra channel. The causative agent - the human papilloma virus. The disease is transmitted through sexual contact.

Treatment

The affected area should be dry.

Locally 10-25% podophyllin solution or a 0.5% solution of podophyllotoxin (only warts).

Applied cryotherapy, electrosurgery under general anesthesia, the introduction of interferon in the affected area and, topically - fluorouracil ointment.

Lesions of the penis skin

The most frequently observed damage short frenulum foreskin. Injury occurs during sexual intercourse. Damage to heal for a long time, sometimes it takes a bridle plastic.

penile skin lesions observed in diseases, sexually transmitted diseases - syphilis (chancre), genital herpes, HIV, rarely - in penile cancer (Table. 86.1).

Cancer of the penis

Cancer of the penis - a rare tumor. Prevalence - 1: 100 000 men. It occurs predominantly in uncircumcised (probably due to carcinogenicity smegma).

Initially, the tumor looks like a nodule or sores on the penis or cervix, may resemble warts. A tumor usually hidden under the foreskin, so the first symptom, especially in non-compliant hygiene are spotting or malodorous discharge [W]. In 50% of cases during the first call is swollen lymph nodes (due to metastasis or inflammation).

Priapism

Priapism - a persistent painful erection unrelated to sexual arousal.

The immediate cause of priapism, difficulty of venous outflow from the corpus cavernosum. Cavernous body tense and painful, while the spongy body and the head of the penis remains soft.

Priapism is considered urgent condition: it can lead to thrombosis veins of the penis and impotence.

Most often, there is idiopathic priapism, rarely it occurs after the administration of prostaglandins in the treatment of impotence, blood disorders (eg, sickle cell anemia or leukemia), metastasis of malignant tumors, spinal cord injuries, receiving anticoagulants, phenothiazines, some antihypertensive drugs, with hashishism. A common cause - intracavernous administration of certain medicaments, particularly papaverine.

When prializme require immediate consultation of the urologist. To exclude blood diseases quickly perform complete blood count. Metaraminol administered intracavernosally, 1 mg as weak liquor, and then the penis are massaged.

Apply cold for that ice cubes are introduced into the rectum (is especially effective if priapism caused side effects of drugs).

If there is no effect, then reintroduced metaraminol or perform venous shunting.

A source: http://MirZnanii.com/a/210359/bolezni-polovogo-chlena