webbed penis
Introduction
Introduction to the scorpion penis The scrotum penis is also known as the scrotum scrotum fusion, which refers to the fusion of the scrotal medial skin with the ventral skin of the penis, so that the penis and the scrotum are not completely separated. Mostly congenital malformations, a small number of secondary to circumcision or other surgical removal of the ventral side of the penis due to excessive skin. Most have no urethral dysplasia. About 3.5% of the hypospadias are complicated by this deformity. basic knowledge The proportion of the disease: the male incidence rate is about 0.0002%-0.0003% Susceptible people: no special people Mode of infection: non-infectious Complications: hypospadias Repeated bladder Bladder valgus
Cause
Cause of sickle penis
Causes:
The cause of congenital pathogenesis is unknown. It may be that when the labia scrotum bulge is close to each other and develop into a scrotum, it is not separated from the penis skin, but continues to extend to the penis. Usually, the penis is not bent, and the urethra is not abnormal. Very few patients can merge at the same time. Hypospadias.
Pathogenesis:
At present, there is no relevant information. The scrotum of the penis is also known as the fusion of the penis and scrotum. It refers to the fusion of the scrotal skin and the ventral skin of the penis, so that the penis and the scrotum are not completely separated. Mostly congenital malformations, a small number of secondary to circumcision or other surgical removal of the ventral side of the penis due to excessive skin.
Prevention
Braided penis prevention
The etiology of this disease is not clear, and may have certain correlation with environmental factors, genetic factors, dietary factors, and mood and nutrition during pregnancy. Therefore, it is impossible to directly prevent the disease against the cause. Early detection, early diagnosis and early treatment are of great significance for indirect prevention of this disease. For patients with urinary tract abnormalities and bladder valgus, early repair and treatment may be expected to reduce the occurrence of complications.
Complication
Sickle penile complications Complications hypospadias repeat bladder valgus
This disease often coincides with other serious developmental abnormalities of the genitourinary system, such as hypospadias, urethral fissure, repeated bladder, bladder valgus, no scrotum, testicles, kidney deficiency and so on. The absence of scrotum, testis, and kidneys is a serious complication. The absence of the scrotum is usually accompanied by the absence of testes, which can cause infertility due to lack of normal sperm. The absence of the kidney generally means that one kidney is lost, and the impact on life is not too great.
Symptom
Symptoms of scorpion penis Common symptoms Sexual intercourse difficulties urination pain Pain penile erection penis abnormalities
The disease may be accompanied by abnormal morphology of the penis and scrotum. Because the scrotum and penile tissue adhere to each other, although it does not affect the normal urination, it can obviously affect the erection of the penis. If the urethral orifice is combined, it may cause abnormal urination. May be accompanied by urination pain and erectile pain. If there is a urinary tract infection, the patient may have clinical manifestations such as frequent urination, urgency, urinary burning and fever.
Examine
Check of the scorpion penis
Clinical physical examination: abnormal morphology of the penis and scrotum, because the scrotum and penile tissue adhere to each other, although it does not affect the normal urination, but can significantly affect the erection of the penis, if combined with the urethral rupture, can cause abnormal urination, Accompanied by painful urination and erectile pain.
Laboratory examination: scrotal B-ultrasound can have testicular loss or morphological changes. Urine routine examination can be seen as a sign of urinary tract infection.
First, based on the history of the disease, clinical symptoms, laboratory test results, a preliminary impression is obtained, and then according to the degree of penile erection, the presence or absence of impotence is judged.
(Normal): Sexual desire is normal, erectile response is rapid, erection duration can disappear after ejaculation or interruption of sexual intercourse, erection hardness can be freely placed into the vagina, sexual pleasure is good, sexual frequency does not change significantly, and masturbation erectile response is normal.
I° (mild): erotic desire is basically normal, erectile response is rapid, erection duration is unstable, and sometimes it is unsustainable. The erection hardness sometimes appears to be unable to be placed in the vagina. The sexual pleasure is basically normal, and the frequency of sexual intercourse is less than before. The masturbation erection reaction is basically normal.
II° (moderate): The libido requirement is weakened, the erectile response is slowed down, and the erection is often unsatisfactory. The erection hardness is often insufficient to insert into the vagina, the sexual pleasure subsides, the frequency of sexual intercourse is significantly reduced, and the erectile reaction of masturbation is reluctant.
III° (severe): The desire for sexual desire disappears, and there is no erectile reaction. Therefore, the erection of the penis can not be discussed. It can be placed in the vagina and is asexual.
Diagnosis of erectile dysfunction should be judged by several parameters such as the fast and slow response of the penile erection, the duration of 2 continuation, and the hardness of 3 penile erection. Any difficulty in these aspects can be considered as abnormal penile erectile function.
In addition, it should be paid attention to understanding that the occurrence of the difficulty of the movement is sudden (such as mostly caused by psychological stimulation, is a mental impotence) or unconsciously gradually increasing the step means that there is an organic problem), in order to facilitate the identification of impotence type. The erectile dysfunction of I° and II° is mainly due to mental impotence, and may also be the early stage of organic impotence. The III° is more common with organic impotence.
Diagnosis
Diagnostic identification of sickle penis
diagnosis
According to the special appearance of the ventral skin of the penis and the scrotal suture skin during the physical examination, a correct appearance can be made. The disease is a developmental abnormal disease, which can be clearly distinguished according to clinical physical examination.
Differential diagnosis
The disease should be differentiated from the valgus of the bladder. The latter also belongs to a developmental malformation. The eversion of the bladder can form a cylindrical bulge. Its morphology and reproductiveity are similar, sometimes difficult to distinguish, but the genitals usually have normal Abnormal urination, and simple bladder valgus deformity without urinary tract.
