By Marco Cusini, Pompeo Donofrio, Giuseppe Micali, Franco Dinotta
Male genital problems characterize a standard factor in scientific perform, particularly within the dermatological environment. right scientific evaluate of those problems is key while addressing the prognosis, which in certain cases may well require histopathological affirmation.
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Additional resources for Atlas of Male Genital Disorders: A Useful Aid for Clinical Diagnosis
Moreover, irreversible complications such as sterility due to fibrotic evolution can be observed. Diagnosis: all patients who have confirmed or suspected urethritis should be tested for N. gonorrhoeae and Chlamydiae. A microscopic and/or culture test of the discharge or of a urine sample can reveal the infection. Microscopic examination is mandatory for differential diagnosis with gonorrhea. In NGU it reveals more than 5 polymorphonuclear leukocytes (x1000) in a Gram- or methylene blue-stained urethral smear, in the absence of Neisseria identification.
Detection in other seborrheic areas is usually helpful to confirm diagnosis. When the diagnosis is unclear, a skin biopsy is suggested, although the histological findings are not specific. Therapy: SD can generally be kept under control with regular use of antifungal agents and intermittent applications of low potency topical steroids. Creams, foams or lotions containing an antifungal agent, such as ketoconazole, reduce flare-ups, supporting the idea that the yeast is a contributing factor. In the hair-bearing genital skin a lotion is preferable.
Cusini et al. Candidiasis Definition: candidiasis is an infectious inflammatory disease usually localized on the glans and on the inner foreskin, but the inguinal fold may also be involved. , which are almost always present in the vaginal flora but infrequent on male genitalia. Under some circumstances Candida sp. can colonize the glans and coronal sulcus and cause an inflammation. It may be sexually transmitted. Epidemiology: it is more frequent in diabetic patients but it may also affect male partners of women with chronic or recurrent candidiasis.
Atlas of Male Genital Disorders: A Useful Aid for Clinical Diagnosis by Marco Cusini, Pompeo Donofrio, Giuseppe Micali, Franco Dinotta