Always read the label: a case report of a penile burn

A 32‐year‐old man presented with chemical burns to his penis following accidental application of depilatory cream to the area. The gentleman consequently sustained deep dermal burns to his penis, experiencing genital swelling and dysuria. This injury was managed conservatively in our burns unit and the patient was discharged shortly after. We present this unusual case of penile burns which has not previously been described in the literature despite depilatory creams being inexpensive and relatively easy to use, and subsequently popular choice amongst available hair removal options.     

Glans meatus proportion in hypospadias versus normal: Does marking reference points impact outcome?

ObjectiveThe aims of this study were to assess anatomical landmarks with reference to urethral meatus and glans in hypospadias and compare the findings with those of healthy individuals, and to assess whether marking reference points helps in improving outcome.Methods1. Patients who underwent repair for hypospadias had reference points marked. Vertical meatal length, ventral glans closure and glans meatus proportion were derived, and the values compared with those obtained from healthy boys. 2. The outcomes of TIP repair after marking reference points (Group I) were compared with those of a similar group without skin markings (Group II).Results1. There was significant difference in the age distribution of hypospadiac patients and healthy individuals, reflected in the meatal length and ventral glans closure. However, there was no significant difference in glans meatus proportion. 2. The fistula rate was 2/35 (5.7%) in group I compared with 5/47 (10.5%) in group II. The meatal stenosis was 2/35 (5.7%) in group I and 4/47 (8.5%) in group II.Conclusion1. Anatomical landmarks in hypospadias are similar to those found in healthy individuals. 2. Marking reference points prior to incision helps to reduce the rate of meatal stenosis and fistula.     

头孢曲松钠引起嘴唇、龟头发麻

1例28岁男性患者,因上呼吸道感染给予5%葡萄糖注射液250mL+头孢曲松钠3.0g静脉滴注,2min后患者主诉嘴唇、龟头出现针刺样麻木感,难以忍受。立即停药,给予静脉推注地塞米松10mg,5%葡萄糖注射液250mL+利巴韦林注射液0.7g+维生素C注射液3.0g静脉滴注,5min后患者主诉症状消失。后给予5%葡萄糖注射液250mL+阿奇霉素0.5g静脉滴注,患者未有不适症状出现。     

Primary Cavernous Hemangioma of the Glans Penis: Rare Case Report with a Review of the Literature

Hemangiomas of the urinary tract are rare lesions, and those of the glans penis are even rarer. A 23-year-old man with a hemangioma of the glans penis treated successfully with intralesional sclerotherapy is presented. Other options for the management of this disorder are discussed.     

以龟头黏膜损害为首发表现的二期梅毒1例

患者男,24岁。龟头黏膜潮红伴白色斑块2月,掌跖部斑疹1周。龟头真菌镜检及培养均(-)。RPR1:32(+),TPPA(+)。诊断:二期梅毒。予普鲁卡因青霉素治疗15天,1个月后复查RPR1:4(+),皮损消退。     

Prevalence and risk factors of human papillomavirus infection by penile site in uncircumcised Kenyan men

Human papillomavirus (HPV) prevalence was estimated from 2,705 sexually active, uncircumcised, human immunodeficiency virus seronegative men aged 17–28 years in Kisumu, Kenya. HPV prevalence was 51.1% (95% confidence interval: 49.2–53.0%) in penile cells from the glans/coronal sulcus and/or shaft. HPV prevalence varied by anatomical site, with 46.5% positivity in the glans/coronal sulcus compared with 19.1% in the shaft (p < 0.0001). High‐risk HPV was detected in 31.2% of glans and 12.3% of shaft samples (p < 0.0001). HPV16 was the most common type and 29.2% of men were infected with more than one HPV type. Risk factors for HPV infection included presence of C. trachomatis, N. gonorrhea, self‐reported sexually transmitted infections, and less frequent bathing. Lifetime number of sexual partners and herpes simplex virus type‐2 seropositivity were also marginally associated with HPV infection.     

Nodulo-ulcerative Tuberculosis of the Glans Penis—A Case Report and a Discussion on Nomenclature of Genital Tuberculosis

Lupus vulgaris is a chronic paucibacillary form of cutaneous tuberculosis occurring in a person with a moderate to high degree of immunity. It commonly occurs over the buttocks and trunk in India. Involvement of the genitalia is uncommon, and lesions involving the penis, extremely rare with few cases reported worldwide. There also exists a confusion regarding nosology of tuberculosis of the genitalia. A brief discussion and review of literature are being discussed along with the report of a case of genital tuberculosis involving the glans penis.