Thin penis root

A short penis can easily lead to a strong sense of inferiority in men and affect the quality of their sexual life. The root of the penis is thin. For a short penis, the current clinical methods are: traditional penis extension and improvement of penis extension, which can treat penile dysplasia, penile deformity and traumatic partial penis defects caused by a short penis; and for a thin penis, autologous fat transplantation, free dermal tissue transplantation, great occult vein transplantation and artificial material filling methods can be considered, each of which has its own advantages and disadvantages.

① Cause

The exact cause of penile cancer is still unclear. It is generally recognized that it is closely related to phimosis and prepuce. Smegma and chronic inflammatory stimulation are important causes of penile cancer. A large number of research results show that circumcision in infants and young children can prevent the occurrence of penile cancer, while circumcision in childhood or adulthood cannot reduce the incidence of penile cancer. Therefore, patients with phimosis should undergo surgical treatment as soon as possible. For people with prepuce, it is most important to keep the foreskin clean, which can also reduce the incidence of penile cancer. The vast majority of penile cancer patients seen in clinical practice now have phimosis. In addition, other causes of penile cancer include penile lichen sclerosus, warts, emphysema, human papillomavirus infection, and incomplete circumcision. Therefore, patients with the above diseases should also be treated as soon as possible.

②Clinical manifestations

Penile cancer often starts on the mucous membrane of the glans penis, coronal sulcus and inner foreskin. For patients with phimosis, the early stage of the lesion is not easy to be found. Nodules or lumps can be felt in the foreskin, which gradually increase in size and can penetrate the foreskin to expose the cancer. Purulent or bloody secretions often flow out of the foreskin opening. Patients whose foreskin can be everted to expose the glans penis will show papules, papillary or flat protrusions, warts or cauliflower-like plaques, ulcers at the lesion site. The lesion gradually increases in size and is often accompanied by foul-smelling secretions on the surface. Penile cancer rarely occurs in the body of the penis. Due to the associated infection, patients with penile cancer often have unilateral or bilateral inguinal lymph node enlargement. About 50% of patients with enlarged lymph nodes are pathologically confirmed to have lymph node metastasis.

③Inspection

1. Men's examination, penile examination, and penile corpus cavernosum

2. Imaging examination

(1) Lymphatic angiography is helpful in diagnosing metastasis, but is generally not used as a routine examination. Lymphatic angiography is performed by injection through the dorsum of the foot, penis, and spermatic cord. If there is metastasis, it may show signs such as irregular lymph nodes, filling defects, lymphatic vessel deformation, and compression and obstruction.

(2) Ultrasound can determine whether there are metastatic lesions in the liver and abdominal cavity.

(3) CT and MRI examination to check for metastasis to the retroperitoneum and internal organs.

2. Other tests

When the lesion is only a nodule and has not yet broken, if it is covered by foreskin, circumcision should be performed to expose the lesion site, and local biopsy can be performed for pathological examination to make a clear diagnosis. Biopsy is the most important histological diagnosis basis. Biopsy of primary cancer can clarify the histological type and pathological grade of the cancer; inguinal lymph node biopsy can clarify whether there is metastasis, which is helpful for clinical staging and the formulation of treatment plans.