Penile Pain

1
Penile Pain

• Test usually not necessary
• Treat constipation
• Explain erections
• Schedule Follow up

But Mom usually is pretty nerved by situation and
wants a quick fix
2
So how do you deal with the parents frustration

• Listen to their concern
• Explain anatomy
• Explain literature and past experience
• Understand their frustration
• Give alternatives
• Ensure that child will be fine and
  that you will be available
• Answer all questions, stay calm and dont leave
  the room until they understand

3
Goal !!!!

• Prevent unnecessary operations
• Parents and children are happy

4
Priapism

• Sickle cell disease
• Initiate protocol
• Teamwork with Hematology
• Start with O2 and hydration
• Aspiration if necessary
• Transfusion if necessary
• Urinary Retention and Constipation
• Rare
• Drainage
• Enema
• Follow up

5
Hypospadias

• Incomplete development of anterior urethra
• Dorsal foreskin hood
• Ventral Chordee
• No emergency
• Does not hurt
• No dysuria
• No urinary retention
• Surgical correction after 7-8 month of age

6
Hypospadias
Penoscrotal Hypospadias
Distal Hypospadias