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Genitourinary Dermatology

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Essential Urology

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

Skin disease of the genitourinary tract assumes a variety of clinical presentations and exists on a continuum from facticial disease to transmissible infections to benign growths and malignant neoplasms. A differential diagnosis can be broad, but most diseases fall into one of the following categories: fixed drug eruption, allergic/irritant contact dermatitis, infection, neoplasia/tumor, trauma, papulosquamous/systemic, and balanitis. To the untrained eye, these dermatoses can appear very worrisome and may evoke an unnecessary sense of urgency and anxiety in the physician and patient. Common dermatoses, infections (sexual, bacterial, fungal, etc.), benign growths, and malignancies are presented below. Diagnostic approaches consist of visual diagnosis, biopsy, superficial skin scrapings, and imaging. Treatment options for genital dermatoses include topical and oral steroids, topical and oral antibiotics, behavior modification, surgical interventions, lasers, and emotional support.

Diagnoses can be delayed if guilt and embarrassment inhibit patients from seeking medical attention. Regardless of the location, physicians should persevere in obtaining a history and performing a physical exam, employing an interdisciplinary approach if necessary.

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Acknowledgement

Excerpts reprinted from Enriquez A, Tomecki KJ. Dermatological Diseases Affecting the Genitourinary System. In: Potts JM, Ed. Genitourinary Pain And Inflammation Diagnosis And Management. Humana Press. Totowa, NJ;2008: 57–76. With permission from Springer Science + Business Media.

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  1. Department of Dermatology, Cleveland Clinic, 9500 Euclid Avenue A61, Cleveland, OH, 44195, USA

    Emily C. Keller & Kenneth J. Tomecki

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  1. Emily C. Keller
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  2. Kenneth J. Tomecki
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Correspondence to Kenneth J. Tomecki .

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  1. Men's Health Consultant, 900 Welch Road, Suite 202, Palo Alto, 94305, USA

    Jeannette M. Potts

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Keller, E.C., Tomecki, K.J. (2012). Genitourinary Dermatology. In: Potts, J. (eds) Essential Urology. Current Clinical Urology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-092-2_12

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  • DOI: https://doi.org/10.1007/978-1-62703-092-2_12

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