Male Health

Caused by inflammation and infection of the glans penis & foreskin.

Common in DM, glycosuria.

Common in uncircumcised - hygiene.

Dx: clinical appearance, may do cultures

Tx: If whitish exudate, beefy red denuded skin - tx like candidiasis

If yellow, purulent exudate tx as bacterial - broad spectrum abx

Diff.dx

gonococcal urethritis

chronic prostatitis

chlamydia

Tight foreskin that cannot be retracted over glans

Dx: on clinical appearance

Tx: EMERGENT surgical circumcision

Most common on left. 

"Bag of Worms"

Dx: clinical; U/S of testicle/cord

Tx: surgical for infertility and persistent uncontrolled discomfort

Dx: u/s assess blood flow; severe groin pain, tender enlarged testicle, absent cremasteric reflex

Tx: EMERGENT surgery w/in 6 hrs

accumulation of fluid in an evagination of the tunica vaginalis of the testis. Defect in closure of tunica.

Dx: clinical, U/S of scrotum

Tx: scrotal support, surgical repair