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Surgery Urethra & Penis f7a1bec4

Palpable plaque with curved penis pointing to the side of plaque is a feature of

A
Peyronies disease
B
Condyloma acuminate
C
Penile carcinoma
D
Hypospadias
High-Yield Explanation
Ans. is 'a' i.e., Peyronies disease * Unyielding palpable plaque in penis with erect penis bent, often dramatically, towards the side of the plaque is a feature of peyronies disease.Peyronie's disease* Peyronie's disease is a common cause of deformity of the erect penis.* Hard plaques of fibrosis can usually be palpated in the tunica of one or both corpora cavernosa. The plaques may be calcified.* The presence of the unyielding plaque tissue within the normally elastic wall of the corpus cavernosum causes the erect penis to bend, often dramatically, towards the side of the plaque.* The aetiology is uncertain but it may be a result of past trauma - there is an association with Dupuytren's contracture.* Disease may continue to progress or remit after 3-5 years.* When the deformity of the penis is causing distress, it may be possible to straighten it by placing non- absorbable sutures in the corpus cavernosum opposite the plaque. This reduces the elasticity in this region to balance that caused by the plaque (Nesbitt's operation).

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