Penile Problems

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Penile Problems
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• A young man aged 18 turns up at the surgery
  worried about spots on his penis and scrotal area
  pointed out by his partner. Has adversely
  affected his relation and keen on getting them
  removed. He is asymptomatic otherwise.

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Fordyce spots

• Small, painless, raised, pale or white spots or
  bumps 1 to 3 mm in diameter that may appear on
  the shaft of the penis,labia, inner surface
  (retromolar mucosa) and vermilion border of the
  lips of the face.
• The spots are a form of ectopic sebaceous glands.
• Very common in adult males (apx. 80). The
  condition can appear either as a single lesion or
  in a symmetrical group of up to one hundred

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Treatment
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• Although treatment is not necessary, those with
  the condition can choose to apply tretinoin gel
  or cream to the affected areas each day.
• TCA chemical peels, CO2 laser.

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• Mum of 4 year old boy comes worried that she
  is unable to retract the foreskin of the shaft.
  When she tries it causes pain otherwise the boy
  is fine.

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Phimosis

• The male foreskin cannot be fully retracted from
  the head of the penis.
• Types
• Physiological In children.
• Pathological
• Lichen Sclerosus
• Balanitis
• Scarring

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Treatment

• The foreskin is reportedly retractable in
  approximately 50 of cases at 1 year of age, 90
  by 3 years of age, and 99 by age 17 in
  physiological cases.
• Circumcision and Preputioplasty in pathological
  cases.

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Balanitis

• Balanitis is an inflammation of the end of the
  penis (the glans). Often the foreskin is also
  inflamed at the same time as the glans.
• Balanitis is common and can occur at any age.
  Commonly affects boys under four years and also
  men who have not been circumcised.
• Cause include poor hygeine, infections,STIs, skin
  conditions, allergies and irritation.

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Treatment

• Following is recommended regardless of the cause
• Avoid soaps when inflammation is present.Use of
  emollient (moisturiser cream or ointment) .
• Use of luke warm water.
• The treatment depends on the cause of the
  balanitis.
• An anti-yeast cream or a course of anti-yeast
  tablets are a common treatment if the balanitis
  is caused by candida.
• Antibiotics will clear infection caused by
  bacteria (including certain sexually transmitted
  infections).
• A mild steroid cream to reduce inflammation is
  useful for balanitis caused by allergies or
  irritants.

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Thank you