Case Report
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GENİTAL LEZYON İLE ÜROLOJİ POLİKLİNİĞİNE BAŞVURAN ERKEK HASTALARIN DEĞERLENDİRİLMESİ Evaluation of Male Patients who Applied to Urology Polyclinic With Genital Lesion

Year 2019, Volume: 9 Issue: 4, 64 - 68, 27.12.2019

Abstract

ÖZET
Amaç: Bu çalışmada amaç, üroloji polikliniğine genital bölgede cilt lezyonu ile başvuran ve dermatoloji
tarafından konsülte edilmiş olan hastaların geriye dönük olarak tanılarının değerlendirilmesidir.
Gereç ve Yöntemler: Çalışmaya son 4 ayda üroloji polikliniğine genital bölgede cilt lezyonu ile başvuran
ve dermatoloji bölümü tarafından konsülte edilmiş olan 18 yaşının üstünde 44 erkek hasta dahil edildi.
Üroloji polikliniğine genital bölgede cilt lezyonu ile başvuran hastalar öncelikle üroloji uzmanı tarafından
değerlendirildi. Ardından bu hastalar dermatoloji polikliniğine yönlendirildi ve uzman dermatolog tarafından
değerlendirildi.
Bulgular: Çalışmaya 19 ile 60 yaş arasında toplam 44 erkek hasta dahil edildi. Hastaların yaş ortalaması
36,97±12,17 idi. İnflamatuar hastalıklar kategorisinde 11 (%25) hastada kontakt dermatit, 2 (%4,5) hastada
liken simpleks kronikus, 2 (%4,5) hastada fiks ilaç döküntüsü, 2 (%4,5) hastada psoriazis, 1 (%2,3) hastada
liken planus ve 1 (%2,3) hastada liken skleroatrofik mevcuttu. Enfeksiyöz hastalıklar kategorisinde 17 (%38,6)
hastada kondiloma aküminata, 3 (%6,8) hastada herpes simpleks enfeksiyonu ve 1 (%2,3) hastada molluskum
kontagiozum mevcuttu. Diğer hastalıklar kategorisinde ise 2 (%4,5) hastada anjiyokeratom, 1 (%2,3) hastada
vitiligo ve 1 (%2,3) hastada kalsinozis kutis mevcuttu.
Sonuç: Genital bölgedeki hastalıkların tanı ve tedavisinde multidisipliner yaklaşım gerekmektedir.
Anahtar kelimeler: Dermatoloji; Erkek; Genital lezyon; Üroloji
ABSTRACT
Aim: The aim of this study was to evaluate retrospectively the patients who were referred to the urology clinic
with genital skin lesions and evaluated by dermatology.
Materaials and Methods: Forty-four male patients over 18 years of age who were applied to urology clinic
in the last 4 months with a skin lesion in the genital area and who were evaluated by the department of
dermatology were included. Patients who applied to the urology clinic with a skin lesion in the genital area
were first evaluated by a urologist. These patients were then directed to the dermatology polyclinic and
evaluated by a dermatologist.
Results: A total of 44 male patients between 19 and 60 years of age were included in the study. The mean age
of the patients was 36.97 ± 12.17. In the inflammatory diseases category, contact dermatitis was found in 11
(25%) patients, lichen simplex chronicus in 2 (4.5%) patients, fix drug eruption in 2 (4.5%) patients, psoriasis
in 2 (4.5%) lichen planus in 1 (%2,3) patient, and lichen sclerosus in 1 (2,3%) patient had. In the infectious
diseases category, 17 (38.6%) patients had condyloma acuminata, 3 (6.8%) patients had herpes simplex
infection and 1 (2.3%) patient had molluscum contagiosum. In the other diseases category, angiokeratom in 2
(4.5%) patients, vitiligo in 1 (2,3%) patient and calcinosis cutis in 1 (2,3%) patient were present.
Conclusion: A multidisciplinary approach is needed in the diagnosis and treatment of diseases in the genital
region.
Key words: Dermatology; Genital lesion; Male; Urology

References

  • 1. Buechner SA. Common skin disorders of the penis. BJU Int. 2002;90:498-506. 2. Goldman BD. Common dermatoses of the male genitalia. Recognition of differences in genital rashes and lesions is essential and attainable. Postgrad Med. 2000;108:89-91, 95-6. 3. David N, Tang A. Efficacy and safety of penile biopsy in a GUM clinic setting. Int J STD AIDS. 2002;13:573-6. 4. Samuel M, Brady M, Tenant-Flowers M, Taylor C. Role of penile biopsy in the diagnosis of penile dermatoses. Int J STD AIDS. 2010;21:371-2. 5. Von Krogh G, Horenblas S. Diagnosis and clinical presentation of premalignant lesions of the penis. Scand J Urol Nephrol Suppl. 2000;205:201–14. 6. Dillner J, Meijer C, von Krogh G, Horenblas S. Epidemiology of human papillomavirus infection. Scand J Urol Nephrol Suppl. 2000;205:194–200. 7. Fleischer AB Jr, Parrish CA, Glenn R, Feldman SR. Condylomata accuminata (genital warts): patient demographics and treating physicians. Sex Transm Dis. 2001;28:643-7. 8. Severson J, Evans T, Lee P, Chan T, Arany I, Tyring S. Human papillomavirus infections. epidemiology, pathogenesis and therapy. J Cutan Med Surg 2001;5:43–60. 9. Moscicki A. Genital human papillomavirus infections in childrenand adolescents. Curr Probl Dermatol. 2000;28:134–40. 10. Fagundes LJ, Vieira EE Jr, Moysés AC, Lima FD, Morais FR, Vizinho NL. Sexually transmitted diseases in a specialized STD healthcare center: epidemiology and demographic profile from January 1999 to December 2009. An Bras Dermatol. 2013;88:523-9. 11. You HS, Kim GW, Kim WJ, Mun JH, Song M, Kim HS, et al. Dermatoses of the Glans Penis in Korea: A 10-Year Single Center Experience. Ann Dermatol. 2016;28:40-4. 12. Kilciler M, Bedir S, Erdemir F, Coban H, Erten K, Ors O et al. Condylomata accuminata of external urethral meatus causing infravesical obstruction. Int Urol Nephrol. 2007;39:107-9. 13. Kavak A, Parlak AH, Akman RY, Yeşildağ N, Anul H, Aydoğan I, et al. An evaluation of hepatitis B, C and HIV infections in sexually transmitted diseases. Türkderm. 2002; 36: 272-5. 14. Bada A, Olatunji P, Adewuyi J, Iseniyi J, Onile B: Hepatitis B surface antigenemia in Ilorin, Kwara State, Nigeria. Cent Afr J Med 1996; 42: 139-41. 15. Neumayr G, Propst A, Schwaighofer H, Judmaier G, Vogel W. Lack of evidence for the heterosexual transmission of hepatitis C. Q J Med 1999; 92: 505-8. 16. Bauer A. Geier J, Elsner P: Allergic contact dermatitis in patients with anogenital complaints. J Reprod Medicine 2000;45:649– 54. 17. Kügler K, Brinkmeier T, Frosch PJ, Uter W: Anogenital dermatoses – allergic and irritative causative factors: analysis of IVDK data and review of the literature. J Dtsch Dermatol Ges 2005;12:979– 86. 18. Foti C, Bonamonte D, Antelmi A, Conserva A, Angelini G. Allergic contact dermatitis to condoms: description of a clinical case and analytical review of current literature. Immunopharmacol Immunotoxicol. 2004;26:481-5. 19. Brown T, Yen-Moore A, Tyring S. An overview of sexually transmitted diseases. Part I. J Am Acad Dermatol 1999;41:511–29. 20. Tyring S, Carlton S, Evans T. Herpes atypical clinical manifestations. Dermatol Clinics 1998;16:783–8. 21. Andreassi L, Bilenchi R. Non-infectious inflammatory genital lesions. Clin Dermatol. 2014;32:307-14. 22. English I, Laws R, Keough G, Wilde J, Foley J, Elston D. Dermatoses of the glans penis and prepuce. J Am Acad Dermatol 1997;37:1–24. 23. Mahboob A, Haroon TS. Drugs causing fixed eruptions: a study of 450 cases. Int J Dermatol. 1998;37:833-8. 24. Yura E, Flury S. Cutaneous Lesions of the External Genitalia. Med Clin North Am. 2018;102:279-300.
Year 2019, Volume: 9 Issue: 4, 64 - 68, 27.12.2019

Abstract

References

  • 1. Buechner SA. Common skin disorders of the penis. BJU Int. 2002;90:498-506. 2. Goldman BD. Common dermatoses of the male genitalia. Recognition of differences in genital rashes and lesions is essential and attainable. Postgrad Med. 2000;108:89-91, 95-6. 3. David N, Tang A. Efficacy and safety of penile biopsy in a GUM clinic setting. Int J STD AIDS. 2002;13:573-6. 4. Samuel M, Brady M, Tenant-Flowers M, Taylor C. Role of penile biopsy in the diagnosis of penile dermatoses. Int J STD AIDS. 2010;21:371-2. 5. Von Krogh G, Horenblas S. Diagnosis and clinical presentation of premalignant lesions of the penis. Scand J Urol Nephrol Suppl. 2000;205:201–14. 6. Dillner J, Meijer C, von Krogh G, Horenblas S. Epidemiology of human papillomavirus infection. Scand J Urol Nephrol Suppl. 2000;205:194–200. 7. Fleischer AB Jr, Parrish CA, Glenn R, Feldman SR. Condylomata accuminata (genital warts): patient demographics and treating physicians. Sex Transm Dis. 2001;28:643-7. 8. Severson J, Evans T, Lee P, Chan T, Arany I, Tyring S. Human papillomavirus infections. epidemiology, pathogenesis and therapy. J Cutan Med Surg 2001;5:43–60. 9. Moscicki A. Genital human papillomavirus infections in childrenand adolescents. Curr Probl Dermatol. 2000;28:134–40. 10. Fagundes LJ, Vieira EE Jr, Moysés AC, Lima FD, Morais FR, Vizinho NL. Sexually transmitted diseases in a specialized STD healthcare center: epidemiology and demographic profile from January 1999 to December 2009. An Bras Dermatol. 2013;88:523-9. 11. You HS, Kim GW, Kim WJ, Mun JH, Song M, Kim HS, et al. Dermatoses of the Glans Penis in Korea: A 10-Year Single Center Experience. Ann Dermatol. 2016;28:40-4. 12. Kilciler M, Bedir S, Erdemir F, Coban H, Erten K, Ors O et al. Condylomata accuminata of external urethral meatus causing infravesical obstruction. Int Urol Nephrol. 2007;39:107-9. 13. Kavak A, Parlak AH, Akman RY, Yeşildağ N, Anul H, Aydoğan I, et al. An evaluation of hepatitis B, C and HIV infections in sexually transmitted diseases. Türkderm. 2002; 36: 272-5. 14. Bada A, Olatunji P, Adewuyi J, Iseniyi J, Onile B: Hepatitis B surface antigenemia in Ilorin, Kwara State, Nigeria. Cent Afr J Med 1996; 42: 139-41. 15. Neumayr G, Propst A, Schwaighofer H, Judmaier G, Vogel W. Lack of evidence for the heterosexual transmission of hepatitis C. Q J Med 1999; 92: 505-8. 16. Bauer A. Geier J, Elsner P: Allergic contact dermatitis in patients with anogenital complaints. J Reprod Medicine 2000;45:649– 54. 17. Kügler K, Brinkmeier T, Frosch PJ, Uter W: Anogenital dermatoses – allergic and irritative causative factors: analysis of IVDK data and review of the literature. J Dtsch Dermatol Ges 2005;12:979– 86. 18. Foti C, Bonamonte D, Antelmi A, Conserva A, Angelini G. Allergic contact dermatitis to condoms: description of a clinical case and analytical review of current literature. Immunopharmacol Immunotoxicol. 2004;26:481-5. 19. Brown T, Yen-Moore A, Tyring S. An overview of sexually transmitted diseases. Part I. J Am Acad Dermatol 1999;41:511–29. 20. Tyring S, Carlton S, Evans T. Herpes atypical clinical manifestations. Dermatol Clinics 1998;16:783–8. 21. Andreassi L, Bilenchi R. Non-infectious inflammatory genital lesions. Clin Dermatol. 2014;32:307-14. 22. English I, Laws R, Keough G, Wilde J, Foley J, Elston D. Dermatoses of the glans penis and prepuce. J Am Acad Dermatol 1997;37:1–24. 23. Mahboob A, Haroon TS. Drugs causing fixed eruptions: a study of 450 cases. Int J Dermatol. 1998;37:833-8. 24. Yura E, Flury S. Cutaneous Lesions of the External Genitalia. Med Clin North Am. 2018;102:279-300.
There are 1 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Case Report
Authors

Abdullah Gürel This is me

Gülhan Gürel This is me

Emine Çölgeçen This is me

Ünal Öztekin This is me

Volkan Selmi This is me

Sercan Sarı

Publication Date December 27, 2019
Published in Issue Year 2019 Volume: 9 Issue: 4

Cite

APA Gürel, A., Gürel, G., Çölgeçen, E., Öztekin, Ü., et al. (2019). GENİTAL LEZYON İLE ÜROLOJİ POLİKLİNİĞİNE BAŞVURAN ERKEK HASTALARIN DEĞERLENDİRİLMESİ Evaluation of Male Patients who Applied to Urology Polyclinic With Genital Lesion. Bozok Tıp Dergisi, 9(4), 64-68.
AMA Gürel A, Gürel G, Çölgeçen E, Öztekin Ü, Selmi V, Sarı S. GENİTAL LEZYON İLE ÜROLOJİ POLİKLİNİĞİNE BAŞVURAN ERKEK HASTALARIN DEĞERLENDİRİLMESİ Evaluation of Male Patients who Applied to Urology Polyclinic With Genital Lesion. Bozok Tıp Dergisi. December 2019;9(4):64-68.
Chicago Gürel, Abdullah, Gülhan Gürel, Emine Çölgeçen, Ünal Öztekin, Volkan Selmi, and Sercan Sarı. “GENİTAL LEZYON İLE ÜROLOJİ POLİKLİNİĞİNE BAŞVURAN ERKEK HASTALARIN DEĞERLENDİRİLMESİ Evaluation of Male Patients Who Applied to Urology Polyclinic With Genital Lesion”. Bozok Tıp Dergisi 9, no. 4 (December 2019): 64-68.
EndNote Gürel A, Gürel G, Çölgeçen E, Öztekin Ü, Selmi V, Sarı S (December 1, 2019) GENİTAL LEZYON İLE ÜROLOJİ POLİKLİNİĞİNE BAŞVURAN ERKEK HASTALARIN DEĞERLENDİRİLMESİ Evaluation of Male Patients who Applied to Urology Polyclinic With Genital Lesion. Bozok Tıp Dergisi 9 4 64–68.
IEEE A. Gürel, G. Gürel, E. Çölgeçen, Ü. Öztekin, V. Selmi, and S. Sarı, “GENİTAL LEZYON İLE ÜROLOJİ POLİKLİNİĞİNE BAŞVURAN ERKEK HASTALARIN DEĞERLENDİRİLMESİ Evaluation of Male Patients who Applied to Urology Polyclinic With Genital Lesion”, Bozok Tıp Dergisi, vol. 9, no. 4, pp. 64–68, 2019.
ISNAD Gürel, Abdullah et al. “GENİTAL LEZYON İLE ÜROLOJİ POLİKLİNİĞİNE BAŞVURAN ERKEK HASTALARIN DEĞERLENDİRİLMESİ Evaluation of Male Patients Who Applied to Urology Polyclinic With Genital Lesion”. Bozok Tıp Dergisi 9/4 (December 2019), 64-68.
JAMA Gürel A, Gürel G, Çölgeçen E, Öztekin Ü, Selmi V, Sarı S. GENİTAL LEZYON İLE ÜROLOJİ POLİKLİNİĞİNE BAŞVURAN ERKEK HASTALARIN DEĞERLENDİRİLMESİ Evaluation of Male Patients who Applied to Urology Polyclinic With Genital Lesion. Bozok Tıp Dergisi. 2019;9:64–68.
MLA Gürel, Abdullah et al. “GENİTAL LEZYON İLE ÜROLOJİ POLİKLİNİĞİNE BAŞVURAN ERKEK HASTALARIN DEĞERLENDİRİLMESİ Evaluation of Male Patients Who Applied to Urology Polyclinic With Genital Lesion”. Bozok Tıp Dergisi, vol. 9, no. 4, 2019, pp. 64-68.
Vancouver Gürel A, Gürel G, Çölgeçen E, Öztekin Ü, Selmi V, Sarı S. GENİTAL LEZYON İLE ÜROLOJİ POLİKLİNİĞİNE BAŞVURAN ERKEK HASTALARIN DEĞERLENDİRİLMESİ Evaluation of Male Patients who Applied to Urology Polyclinic With Genital Lesion. Bozok Tıp Dergisi. 2019;9(4):64-8.
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