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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
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
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