Skip to main content
Springer Nature Link
Log in

Diseases of the Male Genitalia

  • Chapter
Dermatology

  • 1510 Accesses

Abstract

The diagnosis and treatment of diseases involving the glans and prepuce (foreskin) present formidable clinical problems. First, the number of primary disorders is large. In addition, many common dermatoses, such as psoriasis, lichen planus and scabies, may have genital involvement. Examination of the genitalia can provide clues to the diagnosis of a puzzling dermatosis, such as psoriasis. Third, a variety of urethral disorders may also secondarily involve the penile skin. Finally, venereal disease must always be factored into the equation. The patient needs to be counseled adequately, correctly treated and referred to public health sources if a sexually transmitted disease is present. Almost as importantly, if the disorder is not sexually transmitted, the patient needs to be explicitly reassured. The approach to penile disease differs in Germany and America for two major, completely unrelated reasons.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

eBook
USD 18.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

Bibliography

General

  • English JC III, Laws RA, Keough GC et al. (1997) Dermatoses of the glans penis and prepuce. J Am Acad Dermatol 37:1–24

    Article  PubMed  Google Scholar 

  • Gross G, Jablonska S, Pfister H et al. (eds) (1990) Genital papillomavirus infections — modern diagnosis and treatment. Springer, Berlin

    Google Scholar 

  • Lynch PJ, Edwards L (1994) Genital dermatology. Churchill Livingstone, New York

    Google Scholar 

  • Micali G, Innmocenzi D, Nasca MR et al. (1996) Squamous cell carcinoma of the penis. J Am Acad Dermatol 35:432–451

    Article  PubMed  CAS  Google Scholar 

Heterotopic Sebaceous Glands

  • Buschke A (1909) Über die Bedeutung der Papillen der Corona glandis. Med Klin 5:1621–1623

    Google Scholar 

  • Carson H J, Massa M, Reddy V (1996) Sebaceous gland hyperplasia of the penis. J Urol 156:1441

    Article  PubMed  CAS  Google Scholar 

  • Hyman AB, Guiducci A A (1963) Ectopic sebaceus glands. In: Montagna W, Ellis RA, Silver AF (eds) Advances in biology of skin, vol 4. Pergamon, London, pp 78–93

    Google Scholar 

Pearly Penile Papules

  • Ackerman AB, Kronberg R (1973) Pearly penile papules. Acral angiofibromas. Arch Dermatol 108:673–675

    Article  PubMed  CAS  Google Scholar 

  • Glicksman JM, Freeman RG (1966) Pearly penile papules. A statistical study of incidence. Arch Dermatol 93:56–59

    Article  PubMed  CAS  Google Scholar 

  • Magid M, Garden JM (1989) Pearly penile papules: treatment with the carbon dioxide laser. J Dermatol Surg Oncol 15:552–554

    PubMed  CAS  Google Scholar 

  • Ocampo Candiani J, Cueva Rodriguez JA (1996) Cryosurgical treatment of pearly penile papules. J Am Acad Dermatol 35:486–487

    Article  Google Scholar 

  • Vesper JL, Messina J, Glass LF et al. (1995) Profound proliferating pearly penile papules. Int J Dermatol 34:425–426

    Article  PubMed  CAS  Google Scholar 

Penile Melanotic Macule

  • Barnhill RL, Albert LS, Shama SK et al. (1990) Genital lentiginosis: a clinical and histopathologic study. J Am Acad Dermatol 22:453–460

    Article  PubMed  CAS  Google Scholar 

  • Landthaler M, Stolz W, Braun Falco O (1989) Lentigo der Glans penis. Hautarzt 40:222–225

    PubMed  CAS  Google Scholar 

  • Lenane P, Keane CO, Connell BO et al. (2000) Genital melanotic macules: Clinical, histologic, immunohistochemical and ultrastructural features. J Am Acad Dermatol 42:640–644

    Article  PubMed  CAS  Google Scholar 

  • Revuz J, Clerici T (1989) Penile melanosis. J Am Acad Dermatol 20:567–570

    Article  PubMed  CAS  Google Scholar 

Sclerosing Lymphangitis

  • Broaddus SB, Leadbetter GW (1982) Surgical management of persistent, symptomatic nonvenereal sclerosing lymphangitis of the penis. J Urol 127:987–988

    PubMed  CAS  Google Scholar 

  • Gharpuray MB, Tolat SN (1991) Nonvenereal sclerosing lymphangitis of the penis. Cutis 47:421–422

    PubMed  CAS  Google Scholar 

  • Lassus A, Niemi KM, Valle SL et al. (1972) Sclerosing lymphangitis of the penis. Br J Vener Dis 48:545–548

    PubMed  CAS  Google Scholar 

  • Marsch WC, Stuttgen G (1981) Sclerosing lymphangitis of the penis: a lymphangiofibrosis thrombotica occlusiva. Br J Dermatol 104:687–695

    Article  PubMed  CAS  Google Scholar 

Sclerosing Phlebitis

  • Aloi FG, Tomasini CF, Molinero A (1989) Railway track-like dermatitis: an atypical Mondor’s disease? J Am Acad Dermatol 20:920–923

    Article  PubMed  CAS  Google Scholar 

  • Braun-Falco O (1953) Über strangförmige, oberflächliche Phlebitiden (Gleichzeitig ein Beitrag zur Kenntnis der Mondor’schen Krankheit). Dermatol Wochenschr 127: 506–518

    PubMed  CAS  Google Scholar 

  • Findlay GH, Whiting DA (1977) Mondor’s phlebitis of the penis. A condition miscalled “non-venereal sclerosing lymphangitis”. Clin Exp Dermatol 2:65–67

    Article  PubMed  CAS  Google Scholar 

  • Tanii T, Hamada T, Asai Y et al. (1984) Mondor’s phlebitis of the penis: a study with factor VIII related antigen. Acta Derm Venereol (Stockh) 64:337–340

    CAS  Google Scholar 

Penile Rupture

  • McAninch JW, Kahn RI, Jeffrey RB et al. (1984) Major traumatic and septic genital injuries. J Trauma 24: 291–298

    Article  PubMed  CAS  Google Scholar 

  • Orvis BR, McAninch JW (1989) Penile rupture. Urol Clin North Am 16:369–375

    PubMed  CAS  Google Scholar 

  • Rahmouni A, Hoznek A, Duron A, et al. (1995) Magnetic resonance imaging of penile rupture: aid to diagnosis. J Urol 153:1927–1928

    Article  PubMed  CAS  Google Scholar 

  • Wespes E, Libert M, Simon J et al. (1987) Fracture of the penis: conservative versus surgical treatment. Eur Urol 13:166–168

    PubMed  CAS  Google Scholar 

Phimosis and Paraphimosis

  • Broadhurst N, Davey B (1984) Circumcision. A review of the literature and survey of current practice. Aust Fam Physician 13:731–733

    PubMed  CAS  Google Scholar 

  • Larsen GL, Williams SD (1990) Postneonatal circumcision: population profile. Pediatrics 85:808–812

    PubMed  CAS  Google Scholar 

Balanitis und Balanoposthitis

Zoon Balanitis

  • Baldwin HE, Geronemus RG (1989) The treatment of Zoon’s balanitis with the carbon dioxide laser. J Dermatol Surg Oncol 15:491–494

    PubMed  CAS  Google Scholar 

  • Davis DA, Cohen PR (1995) Balanitis circumscripta plasmacellularis. J Urol 153:424–426

    Article  PubMed  CAS  Google Scholar 

  • Nishimura M, Matsuda T, Muto M et al. (1990) Balanitis of Zoon. Int J Dermatol 29:421–423

    Article  PubMed  CAS  Google Scholar 

  • Zoon JJ (1972) Balanoposthite chronique circonscrite bénigne à plasmocytes. Dermatologica 105:1–7

    Article  Google Scholar 

Balanitis Keratotica et Pseudoepitheliomatosa

  • Irvine C, Anderson JR, Pye RJ (1987) Micaceous and keratotic pseudoepitheliomatous balanitis and rapidly fatal fibrosarcoma of the penis occurring in the same patient. Br J Dermatol 116X:719–725

    Article  Google Scholar 

  • Krunic AL, Djerdj K, Starcevic Bozovic A et al. (1996) Pseudoepitheliomatous, keratotic and micaceous balanitis. Case report and review of the literature. Urol Int 56: 125–128

    Article  PubMed  CAS  Google Scholar 

  • Lortat-Jacob E, Civatte J (1961) Balanite pseudo-épithélio-maeuse, kératosique et micacée. Bull Soc Fr Dermatol 68:164–167

    CAS  Google Scholar 

  • Read SI, Abell E (1981) Pseudoepitheliomatous, keratotic and micaceous balanitis. Arch Dermatol Syph 156:613–623

    Google Scholar 

Balanitis Xerotica Obliterans

  • Aynaud O, Piron D, Casanova JM (1999) Incidence of preputial lichen sclerosus in adults: Histologie study of circumcision specimens. J Am Acad Dermatol 41:923–926

    Article  PubMed  CAS  Google Scholar 

  • Bart RS, Kopf AW (1978) Squamous-cell carcinoma arising in balanitis xerotica obliterans. J Dermatol Surg Oncol 4:556–558

    PubMed  CAS  Google Scholar 

  • Howard B, Pride MD, Miller OF et al (1993) Penile squamous cell carcinoma arising from balanitis xerotica obliterans. J Am Acad Dermatol 29:469–473

    Article  Google Scholar 

  • Ledwig PA, Weigand DA (1989) Late circumcision and lichen sclerosus et atrophicus of the penis. J Am Acad Dermatol 20:211–214

    Article  PubMed  CAS  Google Scholar 

  • Meyrick-Thomas RH, Ridley CM et al. (1987) Clinical features and therapy of lichen sclerosus et atrophicus affecting males. Clin Exp Dermatol 12:126–128

    Article  PubMed  CAS  Google Scholar 

  • Nasca MR, Innocenzi D, Micali G (1999) Penile cancer among patients with genital lichen sclerosus. J Am Acad Dermatol 41:911–914

    Article  PubMed  CAS  Google Scholar 

  • Pride HB, Miller F III, Tyler WB (1993) Penile squamous cell carcinoma arising from balanitis xerotica obliterans. J Am Acad Dermatol 29:469–473

    Article  PubMed  CAS  Google Scholar 

  • Stühmer A (1928) Balanitis xerotica obliterans (post-operationem) und ihre Beziehungen zur Kraurosis glandis et praeputii. Arch Dermatol Syph 156:613–623

    Article  Google Scholar 

Bowenoid Papulosis

  • Gross G, Hagedorn M, Ikenberg H et al. (1985) Bowenoid papulosis. Presence of human papillomavirus (HPV) structural antigens and of HPV 16-related DNA sequences. Arch Dermatol 121:858–863

    Article  PubMed  CAS  Google Scholar 

  • Knoll LD, Segura JW, Benson RC, et al. (1988) Bowenoid papulosis of the penis: successful management with neodymium:YAG laser. J Urol 139:1307–1309

    PubMed  CAS  Google Scholar 

  • Kopf AW, Bart RS (1977) Multiple bowenoid papules of the penis: a new entity. J Dermatol Surg Oncol 3:265–269

    PubMed  CAS  Google Scholar 

  • Obalek S, Jablonska S, Beaudenon S et al. (1986) Bowenoid papulosis of the male and female genitalia: risk of cervical neoplasia. J Am Acad Dermatol 14:433–444

    Article  PubMed  CAS  Google Scholar 

  • Schwartz RA, Janniger CK (1991) Bowenoid papulosis. J Am Acad Dermatol 24:261–264

    Article  PubMed  CAS  Google Scholar 

  • Wade TR, Kopf AW, Ackerman AB (1978) Bowenoid papulosis of the penis. Cancer 42:1890–1903

    Article  PubMed  CAS  Google Scholar 

Penile Gangrene

  • Efem S (1994) The features and aetiology of Fournier’s gangrene. Postgrad Med J 70:568–571

    Article  PubMed  CAS  Google Scholar 

  • Lamb RC, Juler GL (1983) Fournier’s gangrene of the scrotum. A poorly defined syndrome or a misnomer? Arch Surg 118:38–40

    Article  PubMed  CAS  Google Scholar 

  • Stein M, Anderson C, Ricciardi R et al. (1994) Penile gangrene associated with chronic renal failure: report of 7 cases and review of the literature (see comments). J Urol 152: 2014–2016

    PubMed  CAS  Google Scholar 

  • Weiner DM, Lowe FC (1996) Surgical management of ischemic penile gangrene in diabetics with end stage atherosclerosis. J Urol 155:926–929

    Article  PubMed  CAS  Google Scholar 

Dequalinium Necrosis

Pruritus Scroti

  • Fischer BK (1997) The red scrotum syndrome. Cutis 60:139–141

    Google Scholar 

  • Kantor GR (1990) What to do about pruritus scroti. Postgrad Med 88:95–96, 99–102

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Dermatology and Allergology, Ludwig Maximilians University, Frauenlobstraße 9-11, D-80337, Munich, Germany

    Prof. Dr. med. Dr. h.c.mult. Otto Braun-Falco (Emeritus Professor and Chairman), Prof. Dr. med. Gerd Plewig (Professor and Chairman) & Walter H. C. Burgdorf M.D. (Clinical Lecturer)

  2. Department of Dermatology and Venerology, University of Lübeck, Ratzeburger Allee 160, D-23562, Lübeck, Germany

    Prof. Dr. med. Helmut H. Wolff (Professor and Chairman)

Authors
  1. Prof. Dr. med. Dr. h.c.mult. Otto Braun-Falco
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Prof. Dr. med. Gerd Plewig
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Prof. Dr. med. Helmut H. Wolff
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Walter H. C. Burgdorf M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2000 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Braun-Falco, O., Plewig, G., Wolff, H.H., Burgdorf, W.H.C. (2000). Diseases of the Male Genitalia. In: Dermatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-97931-6_34

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-97931-6_34

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-97933-0

  • Online ISBN: 978-3-642-97931-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics