Infections and treatment guidelines
Sarah Bekaert, Alison White in Integrated Contraceptive and Sexual Healthcare, 2018
Balanitis is a common condition, defined as inflammation of the glans penis, often involving the prepuce (balanoposthitis). It is a collection of disparate conditions with similar clinical presentation and varying aetiologies. Possible causes:Candida albicanstrichomonasstreptococci group A and BanaerobesGardnerella vaginalisStaphylococcus aureusMycobacterissyphilis
The external genitalia
Kevin G Burnand, John Black, Steven A Corbett, William EG Thomas, Norman L Browse in Browse’s Introduction to the Symptoms & Signs of Surgical Disease, 2014
Phimosis is a narrowing of the end of the prepuce (foreskin), which prevents its retraction over the glans penis. It may be congenital, or it may develop due to scarring of the skin following infection or trauma.
The Reproductive System and Its Disorders
Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss in Understanding Medical Terms, 2020
The penis is the external male genital organ and serves several functions. It conveys the penile urethra from the prostate gland to its opening at the external urethral meatus; in its flaccid state, the penis conveys urine to the surface of the body. The penis also may be stiffened in an erection by the congestion of blood within the three cylinders of erectile tissues that constitute the main mass of the penis. The two corpora cavernosa lie along the anterolateral (forward outside) surfaces, and the corpus spongiosum extends along the lower surface of the penis medially. The term corpus cavernosum, which is the singular form, means "cave-like body," named for its meshwork of cavernous spaces which become engorged with blood during sexual stimulation. Parasympathetic vasodilation of the penile arteries allows blood to enter the penis and cause swelling while the same stimulation prevents drainage of the blood into the veins; after ejaculation or cessation of sexual stimulation, sympathetic stimulation dilates the veins and returns the penis to its flaccid state. Similarly, corpus spongiosum means "spongy body" because of its meshwork structure; it becomes engorged in the same way as the corpora cavernosa. Externally, the penis consists of the body or shaft, which terminates in the glans penis, a cap-like extension of the corpus spongiosum. The word glans is from the Latin for "acorn," so the term is often used for any rounded mass or gland-like structure (for example, glans clitoridis is the erectile tissue at the end of the clitoris). The glans penis is molded into an expanded rim called the corona (from the Greek for "crown," as in coronary). The prepuce or foreskin, a fold of skin between the corona and shaft of the penis, folds forward over the glans unless removed by the surgical procedure known as circumcision.
The prevalence of an excessive prepuce and the effects of distal circumcision on premature ejaculation
Published in Arab Journal of Urology, 2017
Objective:To investigate the prevalence of an excessive prepuce in patients with premature ejaculation (PE) and to evaluate the effectiveness of distal circumcision in reducing the penile hypersensitivity, which is thought to be a cause of PE. Patients and methods:Men were considered to have an excessive prepuce if the foreskin exceeded the external urethral meatus by ≥1 cm in the flaccid state. The diagnosis of PE was based on the Premature Ejaculation Diagnostic Tool (PEDT) questionnaire score and on the intravaginal ejaculatory latency time (IELT). These features were evaluated at baseline and at 6 months after circumcision. Results:Lifelong PE was diagnosed in 352 patients of whom 208 (59.1%) had an excessive prepuce. We offered those with an excessive prepuce a circumcision, as a potential definitive treatment for their PE, and 27 (13%) men accepted. At 6 months after circumcision, there was an increase in the mean (SD) IELT from 40.4 (16.5) to 254 (66.8) s (P
CO
Published in Journal of Dermatological Treatment, 2021
Bernardo Correia, Ana F. Duarte, Eckart Haneke, Osvaldo Correia
Divided or kissing nevi are a rare clinical variant of congenital melanocytic nevi developing in adjacent areas of the skin that undergo cleavage during embryogenesis. Penile lesions are even rarer, with only few cases described in the literature. Typically, they present as two opposing dark colored macular or papular lesions on the glans and prepuce, exhibiting a mirror-image symmetry relative to the coronal sulcus. The proposed management ranges from clinical follow-up to surgical excision. However, in this particularly sensitive location the risk of functional and esthetical complications is high, so an alternative treatment option was proposed. We report a case of a penile kissing nevus with its dermoscopic and histopathological characteristics as well as its successful treatment with the carbon dioxide (CO2) laser.
Cultural competence: a framework for promoting voluntary medical male circumcision among VaRemba communities in Zimbabwe
Published in African Journal of AIDS Research, 2017
Almost a decade after the formal introduction of voluntary medical male circumcision (VMMC) as an important technology for HIV prevention, its implementation is still fraught with acceptability challenges. This is especially true among ethnic groups where male circumcision is conducted as a rite of passage into adulthood. In this article we question why VMMC is being met with resistance despite widespread awareness of its promise to reduce HIV incidence in a culturally circumcising community in Zimbabwe. In-depth and key informant interviews were conducted with selected VaRemba initiation graduates and surgeons respectively in Mposi area in Mberengwa to explore why VMMC has not been readily accepted in their community. Findings suggest that male circumcision among VaRemba is not only the removal of prepuce but comprises a secretive and rich curriculum rooted in their culture and identity. Such a conceptualisation renders some social and programmatic impediments for VMMC uptake. To scale up VMMC uptake among VaRemba, we argue for a reorganisation and adaptation of VMMC services in a culturally competent way that accounts for local conceptions of circumcision and respect for the cultural beliefs and practices of VaRemba communities.
Related Knowledge Centers
- Glans Penis
- Smooth Muscle
- Blood Vessel
- Skin
- Human Body
- Neuron
- External Urethral Orifice