Disorders of the Penis, Scrotum,

Testis & Spermatic Cord

Dr.M.Galuh Richata, SpU
Disorders of the Penis &
Male Urethra
Congenital Anomalies of the Penis
- Apenia (very rare)
- Megalopenis (increased testosterone)
- Micropenis (more common)
- Adult Penile Size
Disorders of the Penis &
Male Urethra
Congenital Anomalies of the Urethra
- Urethral Stricture (most common site: fossa
naviculare, membranous)
- Posterior Urethral Valve
- Anterior Urethral Valve
- Urethrorectal & Vesicorectal Fistulas
- Hypospadia
- Epispadia
- Chordee without Hypospadia
Hypospadia
Classification, according the location:
 Glandular
 Coronal (70%)
 Penile Shaft
 Penoscrotal
 Perineal
Disorders of the Penis &
Male Urethra
Acquired Disease/Disorders
 Priapism
 Peyronie Disease
 Phimosis
 Paraphimosis
 Urethral Stricture
 Urethral Condyloma Acuminata (warts)
 Stenosis of the Urethral Meatus
Disorders of the Scrotum, Testis &
Spermatic Cord
Ectopic Testis & Cryptorchidism
- superficial inguinal (most common site)
- perineal
- femoral or crural
- penile
- transverse or paradoxic descent
- pelvic
Disorders of the Scrotum, Testis &
Spermatic Cord
Spermatocele (cyst of epididymis)
Varicocele (dilatation of pampiniformis plexus)
Hydrocele
Torsion of the spermatic cord (torsio testis)
Scrotal Abscess
Hernial Scrotalis
Disorders of the Scrotum, Testis &
Spermatic Cord
Hydrocele
Disorders of the Scrotum, Testis &
Spermatic Cord
Hydrocele
Disorders of the Scrotum, Testis &
Spermatic Cord
Hydrocele
Tumor of the Genital
Tumors of the Testis
 Germ Cell (90-95%): Seminoma and NonSeminoma
 Non Germinal Cells: Leydig cell, Sertoli cell,
gonadoblastoma)
Tumor of the Genital
Tumor of the Penis
 Most commonly in the 6th decade of life
 Etiologic factor: poor hygiene (smegma accumulation
under the phimotic foreskin results in chronic
inflammation leading to carcinoma), viral infection.
Tumor of the Penis : Pathology
A. Precancerous Dermatologic Lesions:
 Leukoplakia
 Balanitis Xerotica Obliterans
 Giant condyloma acuminata
B. Carcinoma in situ:
 Bowen disease
 Erythroplasia of Queyrat
C. Invasive Ca of the penis (Squamous cell Ca)