Review of penile skin disorders

1. Common skin disorders of the penis Main reference: BJU International 2002 S.A. BUECHNER Department of Dermatology, University of Basel, Switzerland Urology Conference Presented by: Ahmad Kharrouby PGY3

2. Outline

4. A-Viral infections 1- Genital warts 2-Genital herpes

5. 1- Genital warts

8. Multiple papular pigmented condylomata acuminata on the penile shaft

9. Numerous whitish condylomata acuminata on the tip of the penis

13. 2- Genital herpes

16. Genital herpes; grouped vesicles and erosions are located on the penis shaft and scrotum

18. A-Viral infections 2- Genital herpes

19. B-Bacterial ulcerative lesions 1-Chancre ( Syphilis) 2-Chancroid (H. ducreyi )

20. 1- Chancre ( Syphilis)

22. Syphilitic chancres may appear on or around the genitals

24. 2-Chancroid (H. ducreyi )

29. C-Infestations 1-Scabies 2-Pediculosis pubis

30. 1-Scabies

32. Scabies; multiple erythematous papules

34. 2-Pediculosis pubis

37. The nits are found on the hair shafts in the pubic area and the eyelids

39. D-Cutaneous diseases 1-Psoriasis 2-Lichen planus 3-Penile lichen sclerosus 4-Contact dermatitis 5-Fixed-drug eruptions

40. 1-Psoriasis

42. Psoriasis; red scaly patches on the glans penis

45. 2- Lichen planus

47. Lichen planus; numerous annular violaceous papules on the glans penis

49. 3- Lichen Sclerosis

51. Lichen sclerosus; a typical white sclerotic ring at the tip of foreskin

53. 4- Contact dermatitis

56. 5- Fixed-drug eruptions

58. Fixed drug eruption caused by ingestion of trimethoprim-sulphamethoxazole, showing the dusky erythematous solitary lesion

60. E-Balanitis and balanoposthitis 1-Plasma cell balanitis 2-Balanitis circinata

61. 1-Plasma cell balanitis

63. Plasma cell balanitis; a well circumscribed, shiny red plaque

66. 2- Balanitis circinata

68. Balanitis circinata; well-demarcated, erythematous plaque with a ragged border on the glans penis

69. F-Premalignant and malignant genital tumours 1-Giant condyloma 2-Bowen’s disease 3-Bowenoid papulosis 4-Erythroplasia of Queyrat 5-Penile SCC

70. 1-Giant condyloma

72. Giant condylomata acuminata are cauliflower-like lesions arising from the prepuce or glans

73. 2-Bowen’s disease

75. 3- Bowenoid papulosis

77. Bowenoid papulosis; multiple flat pigmented papules

79. 4-Erythroplasia of Queyrat

81. Erythroplasia of Queyrat is a velvety, red lesion with ulcerations

82. 5-Penile SCC

85. Penile SCC presenting as an erythematous, nodular, erosive lesion on the glans penis

86. Squamous cell carcinoma exophytic erosive lesion with evident keratanization

89. Thank You