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At least 163 records · Page 9Linked to original sources
PubMed2000

The os penis of the frugivorous bat, Eidolon helvum (Kerr).

The os penis reported in some species of the mammalian order was observed in the juvenile and adult penes of the friguvorous African bat, Eidolon helvum. The morphology of the os penis in Eidolon helvum differs from that observed in bat species and other mammalian order. In the adult form it is large, disc-shaped and located at the distal segment of the penile organ. The proximal segment of the penis does not contain any bone. In the juvenile bat the os penis is made of two separate bones located longitudinally close to each other at the distal third of the penile tissue. The distal location in both the juvenile and the adult poses a question about the true function of this tissue. The bone may function in Eidolon helvum to support erection of the penis more for micturition than for intromission.

Age Factors↗
PubMed1992

[One-stage operation for treatment of transposition of penis and scrotum complicated by hypospadia].

Transposition of penis and scrotum is often complicated by hypospadia and used to be corrected by staged operation. Since 1984 a new procedure has been developed in which the transposition of penis and scrotum and clubbed penis were corrected, and urethroplasty was performed at same time. Six children received this operation uneventfully. Postoperative follow-up revealed that normal penis position, erection and urination were achieved in these patients. This operation is applicable to patients with transposition of penis and scrotum complicated by various hypospadia. The operative method and key to ensure success are described in this article.

Child↗
PubMedDate not supplied

[Embedding of the deep dorsal vein into the duplication of the tunica albuginea--a new method for the surgical treatment of venous insufficiency of the corpora cavernosa penis].

The methods to block the venous drainage of the spongy bodies (ligation, arterialization and embolization of the venous system in the penis) used in the treatment of vascular erectile impotence lead to spongy tissue sclerosis. The pathogenetic unfoundedness of the above methods prompted the authors to develop better methods for treating the venous insufficiency of the spongy bodies. Nineteen patients with erectile impotence were examined by using drug (papaverin), induced erection, dynamic spongiography, cavernography, and spongiobiopsy. The examination provided a classification of venous insufficiency in the spongy bodies, which included 3 types of the disease: distal, proximal, and mixed. For the treatment of the distal pattern, a new surgical method was developed, namely, immersion of the deep dorsal vein of the penis into the duplication of the tunica albuginea in the spongy bodies. The method partially blocks the venous drainage only in the erected penis, thus avoiding persistent venous hypertension in the erected penis, thus avoiding persistent venous hypertension in the spongy bodies. Five patients were operated on. The follow-up of 3 months to 1 year showed an improvement of penis erectility. Lower venous drainage in the spongy bodies was evidenced by Doppler sonography and perfusion artificial erection. Thus, the proposed operation is an effective tool to correct venous drainage in the spongy bodies.

Adult↗
PubMed1988

[Measurement of nerve conduction velocity of the dorsal nerve of the penis].

Tests for evaluating the function of the nervous system in patients with erectile impotence have been performed indirectly with the measurement of nerve conduction velocity in the extremities and other neurological procedures, since it has been technically difficult to measure the nerve conduction velocity of the dorsal nerve of the penis. Calculation of the nerve conduction velocity of the dorsal nerve of penis from values of the bulbocavernosus reflex latency was not reliable and the development of a technique to measure accurately the nerve conduction velocity of the dorsal nerve of penis has been awaited. Ten impotent men were studied, and a precise description was made about the procedure of measuring the orthodromic nerve conduction velocity of the dorsal nerve of the penis. The dorsal nerve of the penis was stretched optimally with a weight of 300 g, and its conduction velocity reached the maximal value. This new methodology is of use in the evaluation of erectile impotence.

Adult↗
PubMed1987

A histological study of the development of the penis of wild-type and androgen-insensitive mice.

Development of the penis of wild-type and androgen-insensitive (Tfm) mice was compared histologically to demonstrate possible androgen-dependent histogenesis in this organ. The os penis of the normal males consists of a hyaline cartilage and a membrane bone in the proximal segment and a fibrocartilage in the distal segment. Only the membrane bone of the proximal segment developed in the Tfm mice. The corpus cavernosum penis, corpus cavernosum glandis, and corpus cavernosum urethrae developed only to a small degree in the penis of the Tfm mice. It is also suggested that the morphogenesis of the urethra and formation of spines on the skin of the glans penis are dependent on androgens.

Aging↗
PubMed1987

[Strangulation of the penis by a ring].

A 42-year-old man was hospitalized with urinary retention due to strangulation of the penis in December, 1981. He placed a stainless steel ring on the base of the penis to prolong erection one month earlier, but subsequent penile edema made it impossible to remove the ring. On admission the penis was extremely swollen (15 cm in length and 7 cm in diameter). Gangrenous patches covered the surface of the penis almost completely and the ring had cut through all the tissues superficial to Buck's fascia. Even slight tension would have probably divided the penis at the site of obstruction and we thought that amputation would be necessary. However, we decided to try conservative therapy since pulsation was felt in the glans. A high-speed airdriven drill with a diamond tip was used to sever the ring. This took ninety minutes. The ring was 2 cm in diameter. The wound was sutured in one layer after through debridement. The skin ulceration healed slowly and a urethral fistula was present in the penoscrotal region until the 66th postoperative day when it closed spontaneously. At discharge the patient had no problems with urination or erection.

Adult↗
PubMed1985

Microscopic characteristics of genital end bulbs in the penis of bulls.

Light microscopic sections of Epon-embedded bull penis were examined for nerve endings. Tissue was taken from the dorsal midline of the glans penis and from the free portion of the penis in 6 mature bulls. Genital end bulbs were identified in both regions of the penis and were located from 1 to 500 micron beneath the epithelium, with most end bulbs concentrated next to the epithelium in the glans penis. Occasionally, end bulbs were found within nerve trunks. Other encapsulated endings were not seen. Ultrastructural correlation of the light and electron microscopic appearance of spherical end bulbs and elongated end bulbs indicated that their structure was identical. Two to 6 neurites filled with mitochondria were surrounded by several layers of thin cytoplasmic lamellae. The lamellae were characterized by pinocytotic vesicles, microtubules, and a scant basal lamina. A capsule of differing thickness enclosed the end bulbs. Fewer capsular layers surrounded more superficially located end bulbs. Near the epithelium, there were gaps in the capsule. Nonmyelinated fibers were seen within end bulbs and between end bulbs and the epithelium.

Animals↗
PubMed1979

Os penis of the rat. II. Morphology of the mature bone.

A morphological description of the mature os penis and its related structures in the rat is presented. The description aims at being a natural introduction to studies of histomorphological and histochemical events during the development of the bone. The causal interest of this topic is due to a recently published observation of a rare reaction for presence of alkaline phosphatase in the proximally positioned growth cartilage of os penis. The study, thus, presents a systematical description of the position of os penis in relation to the soft tissue structures of glans penis, of gross morphology of the bone, of its periosteal covering and of the distribution of the bone types, which together form the mature bone. The observations result in an introduction of a systematical terminology, based on the Latin language. Furthermore, certain phenomena concerning a distally positioned cartilagenous process, and the distribution of bone tissue types in os penis are observed and discussed. Together with the phenomenon earlier mentioned these phenomena need further attention in future studies of the bone.

Animals↗
PubMed1996

Phallus, penis and mental space.

In this paper the author suggests that it is insufficient simply to make a distinction, as Laplanche & Pontalis do, between penis to denote the male organ in its bodily reality and phallus to describe the symbolic aspect. She suggests that there is an important symbolic function for which the word phallus is not appropriate and which she calls penis-as-link. She suggests that it is the introjection of the penis-as-link which has a structuring function and promotes mental space and thinking, in that it recognises the full oedipal situation including the parental relationship (and mental bisexuality). With clinical material she shows that the lack of internalisation of the penis-as-link leads to the search for the phallus as a fantasy and she illustrates the relationship between the internalisation of the penis-as-link and mental space and thinking.

Female↗
PubMed1976

The effect of neonatal treatment of male mice with antiandrogens and of females with androgens on the development of the os penis and os clitoridis.

The os penis in mice and rats is composed of a proximal intramembranous and endochondral osseous element and a distal cartilaginous, ossifying element. Female mice, but not rats, have a small os clitoridis which corresponds to the intramembranous part of the proximal element of the os penis. In mice of either sex a dense mesenchymatous formation ventral to the urethra is the anlage for the bones of the external genitalia. In the early postnatal period the proximal part of the os penis develops as bone at the outer and as cartilage at the basal end of the anlage, while in females a minute focus of ossification differentiates into the small os clitoridis without passing through a cartilaginous phase. The distal element of the os penis is formed later than the proximal rod and grows at a slower rate. Neonatal treatment with an antiandrogen inhibits the increase in size and calcification of the os penis. Neonatal castration is an even more effective inhibitor. Neonatal treatment with testosterone or dihydrotestosterone, but not with oestradiol, stimulates the growth of the bony proximal os clitoridis, but induces only a rudimentary collagenous distal element. The differences between mice and rats in the response of the tissues of the clitoris to androgenic treatment are discussed, particularly as regards the differentiation of proximal and distal elements.

Androgens↗
PubMed1998

Localization of P2Y1 purinoceptor transcripts in the rat penis and urinary bladder.

PURPOSE: The aim of this study was to determine the expression and localization of the P2Y1 purinoceptor mRNA in rat penis and urinary bladder using reverse transcription polymerase chain reaction (RT-PCR), northern blotting and in situ hybridization (ISH). MATERIALS AND METHODS: RT-PCR: First strand cDNA was prepared from rat penis and urinary bladder dome total RNA and used for PCR with primers designed to amplify fragments of the P2Y1 purinoceptor cDNA sequence. Northern blotting: PCR products were subcloned into the pGEM-5Zf(+) plasmid vector, sequenced and random primer labeled using 32p. Labeled probe was hybridized. ISH: Digoxigenin labeled cRNA probes were synthesized by in vitro transcription. RESULTS: P2Y1 purinoceptor mRNA was detected by RT-PCR analysis in both rat penis and urinary bladder. RNA blotting using a P2Y1 purinoceptor cDNA probe revealed a single transcript of 4.2kb in both tissues. This band was the same size as that expressed by the heart, which contains high levels of P2Y1 purinoceptor (Burnstock, G.: Physiological and pathological roles of purines: an update. Drug. Dev. Res., 28: 195, 1993). By ISH, P2Y1 purinoceptor mRNA was localized in detrusor smooth muscle cells and blood vessels in urinary bladder. In penis, positive signals were detected in endothelial cells which line the lacunar space and blood vessels. No hybridization was seen in corpus cavernosum smooth muscle cells and urethra. CONCLUSION: These results indicate that mRNAs for P2Y1 purinoceptor are expressed in detrusor smooth muscle cells and blood vessels of rat urinary bladder. However, in penis, this receptor is expressed in endothelial cells which lines the lacunar space and blood vessels, but not expressed in corpus cavernosum smooth muscle cells and urethra.

Animals↗
PubMed2006

Prognostic factors in node-positive carcinoma of the penis.

BACKGROUND: Lymph node metastasis is the most important prognostic factor in patients with carcinoma of the penis. In this article, we have reviewed the outcome of the patients with pathologic node-positive carcinoma of the penis after groin dissection performed at the Cancer Institute (WIA) between 1987 and 1998. METHODS: The case records of all patients who underwent groin dissection for carcinoma of the penis between 1987 and 1998 were analyzed. RESULTS: Between 1987 and 1998, 128 patients underwent groin dissections for carcinoma of the penis at Cancer Institute (WIA), Chennai. Out of them, 102 patients had pathologic node-positive disease. The 5-year overall survival (OS) for these patients was 51.1%. Patients with metastasis only to inguinal nodes had a 5-year OS of 64.6% whereas none of the patients with pelvic nodal metastasis survived for 5 years. Among the pathologically node-positive patients, the factors adversely influencing survival on multivariate analysis were bilateral nodal metastases, number of positive inguinal nodes, pelvic nodal metastasis, and extranodal extension. CONCLUSIONS: Groin dissection is an effective treatment for nodal metastasis from carcinoma of the penis. However, innovative approaches are needed for the subset of patients with dismal outlook.

Adult↗
PubMed1977

On the classification of penis carcinoma and its 10-year survival.

With respect to the primary tumor there is no difference between the proposal of the UICC and the Heidelberg version for TNM classification of the penis carcinoma. Clinically the Heidelberg scheme seems more practical, but there were no statistical differences between them. With respect to the prognosis for the patient, the size and localization of the primary tumor are of secondary importance. What is important is the degree of tumor spreading in the lymph system. From this point of view, one needs only to differentiate between T1 (tumor restricted to the penis) and T2 (tumor extending the bounds of the penis). On the other hand, size, localization, and degree of infiltration of penis carcinoma do have different therapeutic consequences, so from this point of view the differentiation of the primary tumor from T1 up to T4 should be retained. With respect to the classification of the state of the corresponding lymph system it is our opinion that the UICC proposal is too differentiated and has little meaning. In its stead, the Heidelberg scheme is clear and simple. Any examiner can complete it. With the help of life tables extending beyond 10 years after diagnosis we were able to determine that 5 years is not a sufficiently long time to clsoe a case of penis cancer. Even with proper treatment, the patient may suffer up to 10 years or more from the disease. In patients aged between 50 and 59 years of age the cancer seems to grow faster; in spite of proper and intensive treatment those patients had a clearly limited life expectancy. In patients aged 60-69 and more so in those between 70 and 79 years of age the tumor seemed to grow slowly and often had no effect on the survival rate.

Follow-Up Studies↗
PubMed1988

Carcinoma of penis treated with neodymium YAG laser.

Sixteen men with squamous cell carcinoma of the penis were treated primarily with the Neodymium Yttrium Aluminum Garnet (Nd:YAG) laser. Five patients had TIS, 9 had T1 tumors, and 2 had T2 carcinoma. All patients had refused traditional therapy of partial penectomy and gave informed consent as to the investigational nature of the Nd:YAG laser photoradiation therapy. Circumcisions and deep tissue biopsies were performed on all patients prior to tumoricidal neodymium photoradiation treatment. The patients were followed from twelve to thirty-six months. At follow-up, 5 patients with TIS had no evidence of recurrent cancer. Of the 9 patients with T1 squamous cell carcinoma of the penis, 6 (67%) were tumor-free at a mean follow-up of twenty-six months. The 2 men with T2 carcinoma of the penis had reduction of the tumor mass but were not cured. The obvious advantage of the Nd:YAG laser in treating carcinoma of the penis is preservation of the penis eliminating disfiguring amputation.

Carcinoma, Squamous Cell↗
PubMed1993

The results of primary radiation therapy in the management of squamous cell carcinoma of the penis.

PURPOSE: The outcome of radical external beam radiation therapy for 26 consecutive patients with invasive carcinoma of the penis treated between 1970 and 1985 was assessed to test the efficacy, and side effects of such treatment. METHODS AND MATERIAL: A retrospective review of 26 patients with invasive carcinoma of the penis and 11 patients with carcinoma in-situ of the penis, treated at the Princess Margaret Hospital between 1970 and 1985, was performed. Radiation treatment was delivered using 60Co or 100-250 kv equipment to a dose ranging from 25 Gy in 10 fractions over 2 weeks to 60 Gy in 25 fractions over 5 weeks. The most often used XRT prescription was 50 Gy in 20 fractions over 4 weeks. RESULTS: The 5-year overall actuarial survival for patients with invasive cancers was 62% (+/- 10) and the cause-specific survival was 69% (+/- 9). The control of the primary lesion was 61.5%. Of five patients who progressed after initial radiotherapy, one patient was salvaged by penectomy. Of 11 patients who recurred after initial complete response, three did so in the penis alone and all were successfully salvaged by penectomy. Late complications were recorded in seven patients, two of whom underwent penectomy as a result. All patients with carcinoma in-situ achieved a complete response and, with follow-up ranging from 1 to 14 years, none recurred. CONCLUSION: We conclude that radiation therapy with surgery reserved for the management of local recurrence is an effective first line treatment for patients with carcinoma of the penis.

Actuarial Analysis↗
PubMed2000

[Malignant neoplasms of the penis].

OBJECTIVE: To assess the behaviour and management of these uncommon neoplasias. MATERIAL AND METHODS: Between March 1975 and July 1999, a total of 95 malignant neoplasias of the penis were diagnosed and treated by our unit. Patients mean age was 62 years (28 to 87 years). A retrospective analysis of any associated lesions, biological behaviour of the various neoplasias, as well as therapies used is carried out. RESULTS: The squamous carcinoma of the penis (SCP) is the most frequent pathohistological entity entailing 78 cases (82%), followed by verrucous carcinoma (VC) 13 cases (13.5%), basal cells carcinoma 1 case, and melanoma, lymphoma and penile metastasis 1 case each. There is a significant presence of associated lesions with marked predominance of phimosis. The most frequent reason for the call is an injury of the penis (74 cases; 78%). Treatment was mainly partial penectomy (51 patients; 53.7%), followed by conservative treatment in 28 cases (30%). Inguinal lymphadenectomy was performed in 13 patients (14%), due to either a positive nodular biopsy or a persistent adenopathy following antibiotic therapy. CONCLUSIONS: Neoplasias showing superior biological behaviour are basal cell carcinoma of the penis, and verrucous carcinoma. Prognosis in SCP is based on pathological status and node involvement. Patients with pT1 tumours showed no metastatic adenopathies after follow-up regardless of cytological grading, and are therefore candidates to watchful waiting with regular monitoring. Melanoma of the penis is a highly aggressive tumour due to its high metastatic capacity with a poor prognosis.

Adult↗
PubMed2002

Common skin disorders of the penis.

Diseases of the male genitalia range from infectious lesions to inflammatory and neoplastic conditions, including many genital manifestations of more general skin diseases. This review highlights the clinical features, diagnosis and treatment of the most common dermatoses of the male genitalia. Herpes genitalis and infections caused by human papillomavirus (HPV) are increasing, particularly in young sexually active people. Herpes simplex virus infection is the commonest infectious cause of genital ulceration, with evidence that many infections are asymptomatic. HPV infection may be latent, subclinical and clinical. The most common causal agents for condyloma acuminatum are low-risk HPV 6 and 11; high-risk HPV types 16 and 18 are associated with premalignant and malignant lesions. Treatment for genital warts remains unsatisfactory; recurrences are common. Imiquimod, a new topical immunotherapeutic agent, which induces interferon and other cytokines, has the potential to be a first-line therapy for genital warts. Scabies and pediculosis are transmitted by skin-to-skin contact and sexual transmission is common, with the penis and scrotum favourite locations for scabious lesions. Oral ivermectin, a highly active antiparasitic drug, is likely to be the treatment of choice, but until approval is granted it should be reserved for special forms of scabies. Common skin diseases, e.g. psoriasis and lichen planus, may have an atypical appearance in the genital area. The typical psoriatic scale is usually not apparent because of moisture and maceration. Allergic contact dermatitis of the genital area may result from condoms, lubricants, feminine hygiene deodorant spray and spermicides. More often, contact dermatitis is irritant, resulting from persistent moisture and maceration. Lichen sclerosus is a chronic inflammatory disease that occurs as atrophic white patches on the glans penis and foreskin. The penile form is a common cause of phimosis in uncircumcised men; involvement of the urethral meatus may lead to progressive meatal stenosis. Plasma cell balanitis is a benign, idiopathic condition presenting as a solitary, smooth, shiny, red-orange plaque of the glans and prepuce of a middle-aged to older man. Squamous cell carcinoma (SCC) in situ, e.g. erythroplasia of Queyrat and Bowen's disease, cannot be excluded clinically; their apparent clinical benignity may lead to lengthy periods of misdiagnosis and biopsy is required to confirm the diagnosis. SCC is the most common malignancy of the penis and the role of oncogenic HPV-types has been also established in SCC of the penis. Prevention of SCC of the penis presupposes an identification of risk factors, early detection of all pre-cancerous lesions and treatment of phimosis.

Balanitis↗
PubMed2001

Surgical correction of buried penis: a review of 60 cases.

BACKGROUND/PURPOSE: The authors reviewed 60 cases of buried penis, treated in a single institution with postoperative follow-up for at least 6 months. The review was aimed at providing information that might help to optimize the results in future surgical correction of this uncommon, but not rare, congenital disorder. METHODS: From January 1, 1989 to December 31, 1998, 62 boys with buried penis were treated with 1 of the following procedures: group 1A (n = 6), preputial unfurling alone; group 1B (n = 8), modified preputial unfurling; group 1C (n = 12), penoplasty devised by the first author with preservation of the preputial skin; and group 2 (n = 36), penoplasty with trimming of the inner preputial skin. Postoperative follow-up of more than 6 months after operation was achieved in 60 of 62 patients for a total of 25 patients in group 1 (A through C) and 35 patients in group 2. RESULTS: Recurrent buried penis developed in 8 of 60 patients (13%), and redundant penile skin with or without lymphedema occurred in 18 (30%). The complications occurred in 18 of 25 patients (72%) in group 1 (A through C) but in only 8 of 35 (23%) in group 2. The difference was significant (P =.001). Most of the complications were mild and acceptable. A second procedure was required in 5 of the 25 patients in group 1 but in none of group 2. The second procedures were required to correct recurrent buried penis in 1 and to resect excess redundant penile skin in 4. CONCLUSION: The superior results achieved in group 2 suggest that in addition to penoplasty with adequate fixation of the unfurling prepuce, resection of excess inner preputial skin is required to achieve an optimal outcome in children requiring surgical correction of buried penis.

Child↗