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Related Experiment Videos

Traumatic purpuric penile ulcer.

Joseph A Witkowski1, Jennifer L Parish, Lawrence Ch Parish

  • 1Department of Dermatology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA. jawitkow@verizon.net

Acta Dermatovenerologica Croatica : ADC
|April 13, 2004
PubMed
Summary
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A penile ulcer in a 33-year-old man resolved with topical treatment. The ulcer recurred due to a specific masturbation technique, highlighting mechanical trauma as a cause for penile ulcers.

Area of Science:

  • Dermatology
  • Urology

Background:

  • Penile ulcers can have various etiologies, including infectious and traumatic causes.
  • Nonspecific genital ulcers require thorough investigation to determine the underlying cause.
  • Mechanical irritation is an underrecognized cause of penile lesions.

Purpose of the Study:

  • To report a case of penile ulcer caused by mechanical trauma during masturbation.
  • To highlight the importance of patient history in diagnosing genital ulcers.
  • To demonstrate the efficacy of conservative management for trauma-induced penile ulcers.

Main Methods:

  • A case report of a 33-year-old male patient presenting with a penile ulcer.
  • Initial treatment included benzathine penicillin and doxycycline, with negative syphilis testing.

Related Experiment Videos

  • Physical examination revealed an irregular, tender penile ulcer with a purpuric base.
  • The lesion was treated with a topical cream containing iodochlorhydroxyquin and hydrocortisone.

    • Main Results:

    • The penile ulcer healed within two weeks of topical therapy.
    • The patient later developed a recurrent ulcer attributed to his masturbation technique.
    • The recurrent ulcer also healed rapidly with conservative management.
    • No inguinal adenopathy or buboes were noted in either presentation.

    Conclusions:

    • Mechanical penile trauma from specific masturbation practices can cause recurrent penile ulcers.
    • A detailed patient history, including sexual and behavioral practices, is crucial for diagnosis.
    • Topical corticosteroid and antimicrobial therapy can effectively treat such ulcers.