Male Genitalia

Chancre

painless sore from syphilis

Condyolomata acuminata

external genital warts caused by HPV

Cystitis

inflammation of the bladder, often due to infection (UTI)

epididymis

• first part of the secretory duct of each testis.

• supplied by the internal spermatic, deferential, and external spermatic arteries; it is drained by corresponding veins.

Epispadias

• A congenital opening of the urethra on the dorsum of the penis.

• urethra dorsal/top - rare

Hernia

The protrusion of an anatomical structure through the wall that normally contains it.

Herpes Genitalis

• Recurring herpes of the genital or anorectal skin or mucous membranes, caused by chronic infection with herpes simplex virus (HSV) or herpes simplex virus type II (HSV-2).

• Grouped Vesicles

Hydrocele

• (serous fluid around testicle due) - due to trauma (e.g., bike seat)

  • trans-illumination(fluid glows red as light reflects off fluid

Hypospadias

• An abnormal congenital opening of the male urethra upon the undersurface of the penis.

  • urethra ventral/underneath - most common

Orchitis

acute inflammation of the testes - causes tenderness

paraphimosis

• foreskin permanently retracted

• unable to protract it and return to its place

  • can cause necrosis to glands

phimosis

foreskin cannot be retracted (associated with poor hygiene)

prepuce

• foreskin

  • an outer layer of skin that covers the head of the penis

Priapism

Prolonged painful erection

• spinal cord injury, leukemia, sickle cell disease

Spermatic cord

consists of arteries, veins, lymphatic nerves

Spermatocele

retention cyst

• collection of sperm in the epididymis

• most common after vasectomy

Torsion

Sudden twisting of spermatic cord (more common on left)

• rare after age 20

• may occur spontaneously (during sleep) or after trauma

• SURGICAL EMERGENCY

Varicocele

Dilated veins of spermatic cord

• enlargement of veins within the scrotum - decreased sperm production and quality-infertility

Vas deferens

The secretory duct of the testis, a continuation of the epididymis.

Constipation

Decrease in normal frequency of defecation accompanied by difficult or incomplete passage of stool and/or passage of excessively hard, dry stoo

Fissure

mucosal tear d/t passage of large/hard stool

Hemorrhoid

Hemorrhoids are a common, generally insignificant swelling and distention of veins (hemorrhoidal venous cushions) in the anorectal region.

• external hemorrhoids (most common cause of painful BMs)

• Internal hemorrhoids

  • not painful unless prolapsed, infected, or thrombosed

  • may result in significant bleeding

HPV

• human papillomavirus

• causes cervical cancer

Pruritus

Pruritus ani (burning, itching)

• common; etiology may never be found

• r/o fungal infection, external hemorrhoids, or parasites (pinworm)

Steatorrhea

excessive fat in stool

• pancreatic problems, malabsorption