Urology Conditions Overview
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Questions and Answers

What is a primary cause of hypospadias?

  • Congenital failure of testes to attach
  • Failure of the urethral folds to close (correct)
  • Abnormal positioning of the genital tubercle
  • Infection by high-risk HPV
  • Which condition is characterized by benign warty growths due to HPV types 6 or 11?

  • Lymphogranuloma venereum
  • Condyloama acuminatum (correct)
  • Squamous cell carcinoma
  • Bowen disease
  • What is the main risk factor associated with squamous cell carcinoma of the penile skin?

  • Orchitis
  • Mumps virus infection
  • Lack of circumcision (correct)
  • Chlamydia trachomatis infection
  • Which of the following is a common cause of orchitis in young adults?

    <p>Chlamydia trachomatis</p> Signup and view all the answers

    What characterizes the lesion known as erythroplasia of Queyrat?

    <p>Erythroplakia on the glans</p> Signup and view all the answers

    What complication is associated with lymphogranuloma venereum?

    <p>Rectal stricture from fibrosis</p> Signup and view all the answers

    What is the typical presentation of testicular torsion in adolescents?

    <p>Sudden testicular pain and absent cremasteric reflex</p> Signup and view all the answers

    Which serotypes of Chlamydia trachomatis are associated with lymphogranuloma venereum?

    <p>L1-L3</p> Signup and view all the answers

    Study Notes

    Hypospadias

    • Opening of urethra on inferior surface of penis
    • Due to failure of urethral folds to close

    Epispadias

    • Opening of urethra on superior surface of penis
    • Due to abnormal positioning of genital tubercle
    • Associated with bladder exstrophy

    Condylomata Acuminata

    • Benign warty growth on genital skin
    • Due to HPV types 6 or 11
    • Characterised by koilocytic change

    Lymphogranuloma Venereum

    • Necrotizing granulomatous inflammation of inguinal lymphatics and lymph nodes
    • Sexually transmitted disease caused by Chlamydia trachomatis (serotypes L1-L3)
    • Can lead to rectal stricture with perianal involvement

    Squamous Cell Carcinoma

    • Malignant proliferation of squamous cells in penile skin
    • Risk factors include high-risk HPV (in ~2/3 of cases) and lack of circumcision
    • Foreskin can be a nidus for inflammation if not properly maintained
    • Precursor in situ lesions include:
      • Bowen disease (leukoplakia) –in situ carcinoma of penile shaft or scrotum
      • Erythroplasia of Queyrat (erythroplakia) – in situ carcinoma on glans
      • Bowenoid papulosis – in situ carcinoma presented as multiple reddish papules
      • Seen in younger patients (40s) relative to Bowen disease and erythroplasia of Queyrat.
      • Does not progress to invasive carcinoma.

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    Description

    This quiz covers various urological conditions, including hypospadias, epispadias, condylomata acuminata, lymphogranuloma venereum, and squamous cell carcinoma. Each condition is discussed in terms of its characteristics, causes, and associated risks. Perfect for those studying urology or related medical fields.

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