Penile abnormalities-Penile and Urethral Anomalies - Pediatrics - MSD Manual Professional Edition

This article considers the impact and outcomes of both treatment and underlying condition of penile anomalies in adolescent males. The emergence of new surgical techniques continues to improve outcomes and potentially raises patient expectations. The importance of balanced discussion in conditions such as micropenis, including multidisciplinary support for patients, is important in order to achieve appropriate treatment decisions. Topical treatments may be of value, but in extreme cases, phalloplasty is a valuable option for patients to consider. In buried penis, the importance of careful assessment and, for the majority, a delay in surgery until puberty has completed is emphasised.

Penile abnormalities

Penile abnormalities

Penile abnormalities

Penile abnormalities

Penile abnormalities

Symptoms of penile cancer include growths or sores on the penis, abnormal discharge from the penis Babel masturbating boy bleeding. Melanoma and basal cell cancer each make up less than 2 percent of all penile cancers, and sarcoma and adenocarcinoma, otherwise known as Paget disease of the penis, are even rarer. Signs and symptoms of hypospadias include an abnormal urethral opening, chordee a downward curve of the Penile abnormalitiesabnormal spraying Penile abnormalities urination and foreskin abnormalities that make the penis appear hooded. Inflammation also can lead to swelling of the foreskin, which can cause injury to the penis. Congenital phimosis is expected in children younger than 3 years of age, and may be a normal finding up until the age of puberty. Quiz If there is an infection, treatment will include an appropriate antibiotic or antifungal medication.

Sexy political humor. Abnormalities of male genitalia

Penile abnormalities other men, retrograde ejaculation may be a side effect of some medications, or happen after an operation on the bladder neck or prostate. I accept the Terms and Penile abnormalities Policy. Penile abnormalities may occur after an erection abnormalitiez sexual activity, or as the result of injury to the head of the penis. Device implant to increase rigidity and straighten the penis. The cause for this disorder is multi-factorial: besides genetic factors the damaging effects abonrmalities a hormone therapy with progesterone during the first month of pregnancy abnormakities plays a role. This inflammation can lead to the formation of scar tissue. Signs and symptoms of Peyronie's disease include scar tissue that can Men wife watching fantasy felt under the skin of the penis, a significant bend or curve of the penis, difficulty getting or keeping an erection, pain in the penis, and shortening of the penis. ED is quite common, Psnile studies showing that about one half of American men over age 40 are affected. Peyronie's disease is a condition in which a plaque, or hard lump, forms on the penis. Cancer that develops from squamous cells is called squamous Penile abnormalities carcinoma. Penile abnormalities occurs when blood flows into the penis but is not adequately drained.

Congenital anomalies of the urethra in boys usually involve anatomic abnormalities of the penis and vice versa.

  • Various abnormalities can affect the skin of the penis.
  • The penis is one of the external structures of the male reproductive system.

There are quite a few types of penile conditions. Some are minor and don't cause many problems, and some are serious medical emergencies that require immediate treatment or surgery. Penile conditions can be congenital, which means they are present at birth, or they can develop over time. Balanitis is inflammation of the glans head of the penis.

If the foreskin is also inflamed, the condition is called balanoposthitis. Symptoms of balanitis can include penile pain, swelling and itching, a rash on the penis, and a strong-smelling discharge from the penis. If the penis isn't properly cleaned underneath the foreskin, bacteria, sweat, dead skin cells, and debris can build up around the glans and lead to inflammation.

If an uncircumcised male has phimosis foreskin that is difficult to retract and cannot clean under the foreskin, risk of inflammation increases. Other causes of balanitis include dermatitis and infection yeast infection or sexually transmitted infection. If infection is the cause, treatment will include antibiotic or antifungal medication. If balanitis is severe or recurrent, circumcision may be the best treatment option.

Both boys and girls can be born with epispadias. When it occurs in boys, they are normally born with a short, wide penis that is curved abnormally. Rather than the urethra opening at the tip of the penis, it may open on the top of side of the penis, or it may be open all along the length of the penis.

Signs and symptoms of epispadias in males include an abnormal opening in the urethra, a widened pubic bone, an abnormally shaped penis or abnormally curved penis chordee , reflux nephropathy backward flow of urine into the kidney , urinary incontinence and urinary tract infections. Cases range from mild to severe. In cases where the bladder is involved, surgery will also need to create a pathway for urine to pass normally and to help preserve fertility.

There are two common surgical techniques to correct epispadias: the modified Cantwell technique and the Mitchell technique. Hypospadias is a birth defect in which the opening of the urethra develops on the underside of the penis instead of on the tip.

The condition ranges in severity, depending on where the opening forms. Many times, the urethral opening is near the head of the penis. Some boys are born with the opening in the middle of the shaft or the base of the penis, and rarely, boys can be born with the urethral opening below the scrotum.

Signs and symptoms of hypospadias include an abnormal urethral opening, chordee a downward curve of the penis , abnormal spraying during urination and foreskin abnormalities that make the penis appear hooded. Hypospadias is a relatively common problem that has a straightforward diagnosis and treatment.

Treatment involves surgical correction to reposition the urethral opening and, in some cases, to straighten the shaft of the penis. There are five basic types of penile cancer: squamous cell carcinoma, melanoma, basal cell cancer, adenocarcinoma and sarcoma. About 95 percent of all cancers of the penis develop from squamous cells, which are flat skin cells. Cancer that develops from squamous cells is called squamous cell carcinoma. Squamous cell cancers tend to grow slowly, and they can usually be cured if they are found early.

With CIS, cancer is only found in the top layers of the skin on the penis. Melanoma and basal cell cancer each make up less than 2 percent of all penile cancers, and sarcoma and adenocarcinoma, otherwise known as Paget disease of the penis, are even rarer.

Penile cancer must be treated. If the cancer is found early, chances are good that the penis can be saved. However, if cancer has spread to deep tissues of the penis, a surgeon may have to perform a penectomy removal of part or the entire penis to remove the cancer.

Peyronie's disease is a penile condition that develops when scar tissue, called plaque, forms inside the penis and causes erections to be curved and painful. Many men have a slight curve to their erect penis, and it doesn't cause any problems. But when it is painful or the bend is significant, it can lead to erectile dysfunction and may even make sexual intercourse impossible.

Signs and symptoms of Peyronie's disease include scar tissue that can be felt under the skin of the penis, a significant bend or curve of the penis, difficulty getting or keeping an erection, pain in the penis, and shortening of the penis. Sometimes Peyronie's disease is mild and doesn't cause significant problems. In that case, treatment may not be necessary. There is also a chance it will improve or even go away on its own without treatment.

However, if you have penile pain or the curve of your penis causes problems with sexual intercourse, call your doctor.

You may need to take medication, have the scar injected with a medication or have surgery to correct the Peyronie's.. Your doctor may prescribe other medications as well. If your disease is severe and isn't improving on its own or with treatment, surgery may be an option.

Phimosis is a condition that makes it difficult to retract the foreskin of the penis. Paraphimosis is a condition that makes repositioning the foreskin difficult. Both conditions can occur in boys and men who are uncircumcised have not had their foreskin removed. Phimosis is common in infants because their foreskin is still tight. However, if boys cannot retract their foreskin by the time they are adolescents, they may need treatment.

Treatments include applying steroid creams to loosen the foreskin so it can be manipulated and circumcision if steroid cream is unsuccessful. Symptoms of paraphimosis include inability to return foreskin to its normal position, difficulty with ejaculation and urination, discoloration or bruising of the penis, and swelling of the penis.

Paraphimosis can be a medical emergency and should always be evaluated by a doctor right away for evaluation and treatment. Erections that occur with this condition can be painful and are not always related to sexual activity. Common causes include medications, alcohol and drug abuse especially cocaine and marijuana , spinal cord problems and certain blood diseases.

Priapism is a medical emergency. Treatment usually involves draining blood from the penis. Medications to help shrink blood vessels may also be used. Rarely, surgery will be necessary to correct the problem and prevent permanent damage to the penis. If you have symptoms of penile conditions or have been diagnosed with a penile condition and would like to talk with us about treatment options, call to make an appointment with a board certified urologist. Hypospadias Hypospadias is a birth defect in which the opening of the urethra develops on the underside of the penis instead of on the tip.

Peyronie's disease Peyronie's disease is a penile condition that develops when scar tissue, called plaque, forms inside the penis and causes erections to be curved and painful. Phimosis and paraphimosis Phimosis is a condition that makes it difficult to retract the foreskin of the penis.

Test your knowledge. A non-surgical treatment for Peyronie's disease involves injecting medication directly into the plaque in an attempt to soften the affected tissue, decrease the pain and correct the curvature of the penis. Some are bodywide skin disorders that affect the penis as well as other parts of the skin. Phimosis is a condition in which the foreskin of the penis is so tight that it cannot be pulled back retracted to reveal the head of the penis. If infection is the cause, treatment will include antibiotic or antifungal medication.

Penile abnormalities

Penile abnormalities

Penile abnormalities

Penile abnormalities. Hypospadias

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Penile anomalies in adolescence.

The penis is one of the external structures of the male reproductive system. The penis has three parts: the root, which attaches to the wall of the abdomen; the body, or shaft; and the glans penis, which is the cone-shaped end head. The opening of the urethra, the tube that transports semen and urine, is at the tip of the glans penis.

The body of the penis is cylindrical in shape and consists of three internal chambers. These chambers are made up of special, sponge-like erectile tissue.

This tissue contains thousands of large caverns that fill with blood when the man is sexually aroused. As the penis fills with blood, it becomes rigid and erect, which allows for penetration during sexual intercourse.

The skin of the penis is loose and elastic to accommodate changes in penis size during an erection. Semen, which contains sperm the male reproductive cells , is expelled through the end of the penis when the man reaches sexual climax orgasm. Disorders of the penis can affect a man's sexual functioning and fertility. Priapism is a persistent, often painful erection that can last from several hours to a few days.

The priapism erection is not associated with sexual activity and is not relieved by orgasm. It occurs when blood flows into the penis but is not adequately drained. Common causes of priapism include:. Treatment for priapism is important, because a prolonged erection can scar the penis if not treated.

The goal of treatment is to relieve the erection and preserve penile function. Medications that help shrink blood vessels, which decreases blood flow to the penis, also may be used.

In rare cases, surgery may be required to avoid permanent damage to the penis. If the condition is due to sickle cell disease, a blood transfusion may be necessary. Treating any underlying medical condition or substance abuse problem is important to preventing priapism. Peyronie's disease is a condition in which a plaque, or hard lump, forms on the penis.

The plaque often begins as a localized area of irritation and swelling inflammation , and can develop into a hardened scar. The scarring reduces the elasticity of the penis in the area affected. Peyronie's disease often occurs in a mild form that heals without treatment in six to 15 months. In these cases, the problem does not progress past the inflammation phase. In severe cases, the disease can last for years. The hardened plaque reduces flexibility, causing pain and forcing the penis to bend or arc during erection.

In addition to the bending of the penis, Peyronie's disease can cause general pain as well as painful erections. It also can cause emotional distress, and affect a man's desire and ability to function during sex.

The exact cause of Peyronie's disease is unknown. Some cases of Peyronie's disease, however, develop slowly and are severe enough to require surgical treatment. Other possible causes of Peyronie's disease include:. There are two surgical techniques used to treat Peyronie's disease. One method involves the removal of the plaque followed by placement of a tissue.

With the second technique, the surgeon removes or pinches the tissue from the side of the penis opposite the plaque, which cancels out the bending effect. The first method can involve partial loss of erectile function, especially rigidity. The second method, known as the Nesbit procedure, causes a shortening of the erect penis. A non-surgical treatment for Peyronie's disease involves injecting medication directly into the plaque in an attempt to soften the affected tissue, decrease the pain and correct the curvature of the penis.

Penile implants can be used in cases where Peyronie's disease has affected the man's ability to achieve or maintain an erection. Balanitis is an inflammation of the skin covering the head of the penis.

A similar condition, balanoposthitis, refers to inflammation of the head and the foreskin. Symptoms of balanitis include redness or swelling, itching, rash, pain and a foul-smelling discharge. Inflammation can occur if the sensitive skin under the foreskin is not washed regularly, allowing sweat, debris, dead skin and bacteria to collect under the foreskin and cause irritation.

The presence of tight foreskin may make it difficult to keep this area clean and can lead to irritation by a foul-smelling substance smegma that can accumulate under the foreskin.

In addition, men with diabetes are at greater risk for balanitis. Glucose sugar in the urine that is trapped under the foreskin serves as a breeding ground for bacteria. Persistent inflammation of the penis head and foreskin can result in scarring, which can cause a tightening of the foreskin phimosis and a narrowing of the urethra tube that drains urine from the bladder.

Inflammation also can lead to swelling of the foreskin, which can cause injury to the penis. Treatment for balanitis depends on the underlying cause. If there is an infection, treatment will include an appropriate antibiotic or antifungal medication. Taking appropriate hygiene measures can help prevent future bouts of balanitis. In addition, it is important to avoid strong soaps or chemicals, especially those known to cause a skin reaction.

The exact cause of premature ejaculation PE is not known. While in many cases PE is due to performance anxiety during sex, other factors may be:. Studies suggest that the breakdown of serotonin a natural chemical that affects mood may play a role in PE. Certain drugs, including some antidepressants, may affect ejaculation, as can nerve damage to the back or spinal cord. Physical causes for inhibited or delayed ejaculation may include chronic long-term health problems, medication side effects, alcohol abuse , or surgeries.

The problem can also be caused by psychological factors such as depression , anxiety , stress, or relationship problems. Problems with the nerves in the bladder and the bladder neck force the ejaculate to flow backward. In other men, retrograde ejaculation may be a side effect of some medications, or happen after an operation on the bladder neck or prostate. Erectile dysfunction ED is the inability to get and keep an erection for sexual intercourse. ED is quite common, with studies showing that about one half of American men over age 40 are affected.

Causes of ED include:. Phimosis is a condition in which the foreskin of the penis is so tight that it cannot be pulled back retracted to reveal the head of the penis. Paraphimosis occurs when the foreskin, once retracted, cannot return to its original location.

It also can be caused by an infection, or by scar tissue that formed as a result of injury or chronic inflammation. Another cause of phimosis is balanitis, which leads to scarring and tightness of the foreskin. Immediate medical attention is necessary if the condition makes urination difficult or impossible. Paraphimosis is a medical emergency that can cause serious complications if not treated. Paraphimosis may occur after an erection or sexual activity, or as the result of injury to the head of the penis.

With paraphimosis, the foreskin becomes stuck behind the ridge of the head of the penis. If this condition is prolonged, it can cause pain and swelling, and impair blood flow to the penis. In extreme cases, the lack of blood flow can result in the death of tissue gangrene , and amputation of the penis may be necessary.

Treatment of phimosis may include gentle, manual stretching of the foreskin over a period of time. Sometimes, the foreskin can be loosened with medication applied to the penis. Circumcision , the surgical removal of the foreskin, often is used to treat phimosis.

Another surgical procedure, called preputioplasty, involves separating the foreskin from the glans. This procedure preserves the foreskin and is less traumatic than circumcision. Treatment of paraphimosis focuses on reducing the swelling of the glans and foreskin.

Applying ice may help reduce swelling, as may applying pressure to the glans to force out blood and fluid. If these measures fail to reduce swelling and allow the foreskin to return to its normal position, an injection of medication to help drain the penis may be necessary. In severe cases, a surgeon may make small cuts in the foreskin to release it. Circumcision also may be used as a treatment for paraphimosis.

A rare form of cancer, penile cancer occurs when abnormal cells in the penis divide and grow uncontrolled. Certain benign non-cancerous tumors may progress and become cancer.

The exact cause of penile cancer is not known, but there are certain risk factors for the disease. A risk factor is anything that increases a person's chance of getting a disease.

The risk factors for cancer of the penis may include the following:. Symptoms of penile cancer include growths or sores on the penis, abnormal discharge from the penis and bleeding. A doctor may take out the cancer using one of the following operations:. Radiation , which uses high-energy rays to attack cancer, and chemotherapy , which uses drugs to kill cancer, are other treatment options.

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Penile Disorders The penis is an external organ in the male reproductive system. Disorders which can affect the penis include priapism, balanitis, penile cancer, erectile dysfunction, and ejaculatory disorders.

Examine the causes and treatments. Urology What is the penis?

Penile abnormalities