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. 2023 Jul;62(7):735-747.
doi: 10.1007/s00120-023-02123-3. Epub 2023 Jun 14.

[Skin manifestations of the external male genitals]

[Article in German]
S Hook  1 , A J Gross  1 , M Becker  2 , C Netsch  1 , C Rosenbaum  1 , B Becker  3
Affiliations

[Skin manifestations of the external male genitals]

[Article in German]
S Hook et al. Urologie. 2023 Jul.

Abstract
in English, German

The urological examination includes the inspection of the external male genitals. Harmless normal variants, such as heterotopic sebaceous glands and pearly penile papules must be differentiated from malignant and infectious manifestations. Lichen sclerosus et atrophicus is a frequent connective tissue disease that can lead to functional impairments and an associated high level of suffering for those affected. Both conservative and invasive treatment options are available. Sexually transmitted diseases, such as syphilis, are gaining increasing importance in routine clinical and daily practice due to the increasing incidence in recent years. An early diagnosis and treatment of malignant neoplasms, such as Queyrat's erythroplasia can be carried out by routine inspection of the genital skin.

Die urologische Untersuchung umfasst die Inspektion des äußeren männlichen Genitals. Dabei müssen harmlose Normvarianten wie beispielsweise heterotope Talgdrüsen und Papillae coronae glandis von malignen sowie infektiösen Erscheinungen unterschieden werden. Der Lichen sclerosus et atrophicus ist eine häufige Bindegewebserkrankung, die zu funktionellen Beeinträchtigungen mit damit verbundenem hohen Leidensdruck für die Betroffenen führen kann. Hier stehen sowohl konservative als auch invasive Therapieoptionen zu Verfügung. Zunehmende Bedeutung im klinischen sowie im Praxisalltag gewinnen aufgrund der steigenden Inzidenz in den letzten Jahren sexuell übertragbare Erkrankungen wie die Syphilis. Frühzeitige Diagnostik und Therapie von malignen Neoplasien wie der Erythroplasie Queyrat können durch die routinemäßige Inspektion der Genitalhaut erfolgen.

Keywords: Balanitis; Lichen sclerosus et atrophicus; Penis; Skin diseases; Syphilis.

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