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Male Genital System 1. Dr. Amitabha Basu MD. Penis. Mal formations Inflammatory conditions Premalignant lesions and malignant conditions. Mal formations of penis. Epispadias: Infection and urinary incontinence. Inflammation of penis and prepuce.

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Male genital system 1

Male Genital System1

Dr. Amitabha Basu MD


Penis
Penis

  • Mal formations

  • Inflammatory conditions

  • Premalignant lesions and malignant conditions



Epispadias infection and urinary incontinence
Epispadias: Infection and urinary incontinence.


Inflammation of penis and prepuce
Inflammation of penis and prepuce

Banalities & Balanoprosthitis : Hyperemia and exudates.


Banalities balanoprosthitis complications phimosis and paraphimosis
Banalities & Balanoprosthitis Complications : Phimosis and Paraphimosis

Paraphimosis


Genital candidiacis
Genital candidiacis

  • Etiology: Diabetes Mellitus


Penis1
Penis

  • Premalignant lesions

  • Malignant conditions


Premalignant lesions
Premalignant lesions

  • Etiology

  • Carcinogens in smegma

  • HPV type 16


Types of premalignant lesions penis
Types of Premalignant lesions : Penis

  • Carcinoma in situ ( Following types).

    • Bowen disease (HPV type 16).

    • Erythroplasia of Queyrat (HPV type 16)

    • Bowenoid Papulosis (Etiology = Venerally transmitted diseases)



Bowen disease micro in situ carcinoma intact basement membrane severely dysplastic epithelium
Bowen disease : micro – in situ carcinoma ; intact basement membrane ; severely dysplastic epithelium

10 % progress to invasive carcinoma


Malignant lesion pf penis

Etiology

Types of malignancy

Morphology

Clinical features

Squamous cell carcinoma

Verrucous carcinoma

Malignant lesion pf Penis


Etiology of carcinoma penis
Etiology of carcinoma penis

  • Carcinogens in smegma

  • HPV type 16


Squamous cells carcinoma penis
Squamous cells carcinoma : penis

This is a squamous cell carcinoma of the penis ( penectomy specimen )




Scrotun testis and epididymis
Scrotun , Testis and epididymis prognosis.

  • Cryptorchidism

  • Inflammatory conditions of testis

  • Male infertility

  • Hydrocele

  • Hematocele, chylocele, elephantiasis

  • Testicular torsion


Cryptorchidism definition
Cryptorchidism : Definition prognosis.

  • Definition: crypto=hidden, orchid= testicle,

  • Testis fails to descend in the scrotum by age 12 months.

  • Cause:

  • Hormonal abnormality

  • Intrinsic testicular abnormality.

  • Mechanical obstruction in inguinal canal.


Morphology testicular atrophy
Morphology ( Testicular atrophy) prognosis.

  • Right testis more commonly involves. Small testis.

  • Tubular atrophy with hyalinization present.


Microscopy of atrophic tubules diffuse of testis
Microscopy of Atrophic Tubules prognosis.( diffuse) of testis.


Complication cryptorchidism
Complication ; Cryptorchidism prognosis.

  • Infertility

  • Seminoma ( malignancy) particularly with unilateral undescended testis.


Causes of testiculate atrophy and that may lead to infertility
Causes of prognosis.testiculate atrophy and that may lead to Infertility

  • Cryptoorchitism ( unilateral / bilateral).

  • Chronic alcoholism ( Bilateral)

  • Chronic Ischemia ( unilateral / bilateral)

  • Chemotherapy or radiation ( Bilateral)

  • Mumps orchitis ( focal atrophy)

Never forget


Inflammatory lesion of testis
Inflammatory lesion of testis prognosis.

  • Epididymitis

  • Orchitis.


Testis infection
Testis : infection prognosis.


Orchitis
Orchitis. prognosis.

Etiology

  • Mumps ( mumps orchitis ) : common in adult.

  • Plasma cells and lymphocytes are present.



Laboratory
Laboratory prognosis.

  • Sperm count will be low BUT not NIL.

  • Infertility do not occur usually.


Tuberculosis
Tuberculosis prognosis.

  • Epithelioid cell granuloma is present with cassation necrosis.


Causes of male infertility 1 of 2
Causes of Male prognosis.Infertility 1 of 2

  • Mumps (unilateral / Bilateral)- temporary infertility.

  • Cryptoorchitism ( unilateral / bilateral).

  • Chronic alcoholism ( Bilateral)

  • Chronic Ischemia ( unilateral / bilateral)

  • Chemotherapy or radiation ( Bilateral)

  • Hydrocele and Varicocele

Never forget


Other causes of male infertility 2 of 2
Other causes of male infertility 2 of 2 prognosis.

  • Klienfelter syndrome : patient present with gyenecomastia.

  • Sertoli cell-only syndrome : No Sperm-Producing Cells, tubules contain only Sertoli cells.



Hydrocele etiology
Hydrocele : etiology prognosis.

  • Inflammation

  • Idiopathic



Hematocele chylocele elephantiasis
Hematocele, chylocele, elephantiasis vaginalis.

  • Hematocele : blood in tunica vaginalis ( in trauma)

  • Chylocele : lymph in tunica vaginalis ( in lymphatic obstruction).

  • Elephantiasis : in filarial infection ( lymphatic obstruction).


Elephantiasis
Elephantiasis vaginalis.


Varicocele dilation of the pampiniform plexus
Varicocele : Dilation of the pampiniform plexus vaginalis.

Complication : infertility


Testicular torsion hemorrhagic infarction
Testicular torsion : hemorrhagic infarction vaginalis.

Etiology : Trauma or tumor in the testis


Testis
Testis vaginalis.


Self assessment
Self assessment vaginalis.

  • Premalignant lesion of Penis

  • Causes of infertility

  • Etiology of testicular atrophy.


Self assessment1
Self assessment vaginalis.

  • Cryptorchidism and clinical significance

  • Carcinoma penis: Type: prognosis, microscopy


Thank you
Thank you vaginalis.