Hypospadias Epispadias• Malformations of urethral groove and urethral canal may create an abnormal opening. --ventral surface (hypospadias) --dorsal surface (epispadias)It may be associated with abnormalities in --descent of testes --malformation of urinary tractComplications: infections of urinary tract infertility CSBRP-July-2012
The catheter seen here is in a groove on the undersurface below the tip of the penis andenters the urethra. This abnormal opening is known as a hypospadias. Such an anomaly CSBRP-July-2012is not common but can lead to problems with urination and ejaculation.
The groove on the dorsal aspect of the penis extending from the urethral meatus is an abnormalitytermed epispadias. This is an uncommon anomaly of varying degrees of severity. When severe, it CSBRP-July-2012can lead to problems with urination and ejaculation.
The glans penis surrounding the penile urethral meatus demonstrates erythema andexudate, typical for a balanitis. The retracted foreskin is also acutely inflamed, acondition called posthitis. Together, this inflammatory condition is known as CSBRP-July-2012balanoposthitis.
Syphilitic chancreCSBRP-July-2012 on the glans penis occurring
Condyloma accuminatum•HPV 6 & 11•Sexually transmitted•Most lesions occur in the coronal sulcus•Single / multiple sessile or pedunculated red papillaryexcrescences•Histologically acanthosis, hyperkeratosis, koilocytosis•They tend to recurr•No malignant potential•Giant condylomas are known as Buschke-Lowensteintumor CSBRP-July-2012
Bowen’s disease•>35yrs•Shaft of the penis and scrotum•Solitary, thickened, gray white, opaque plaque with shallowulceration and crusting•On the glans it produces velvety lesion•Histologically: acanthosis, mitoses, dysplasia and other nuclearfeatures of malignancy•Dermo-epidermal margin is well demarcated.•Develops in to carcinoma•Bowenoid papulosis: younger age, HPV-16, resembles condyloma,No malignant potential CSBRP-July-2012