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Assessing penile bleeding in primary care involves a comprehensive approach to identify the underlying cause of this symptom, which can range from minor to life-threatening conditions. The assessment should start with a detailed medical history, including recent trauma, sexual activity, symptoms of urinary tract infections, or exposure to new medications. A physical examination is crucial to evaluate the extent and location of bleeding, signs of infection, trauma, or other abnormalities.
Understanding the patient's medical history, including any history of coagulopathies, sexually transmitted infections (STIs), or previous urological issues, is essential. Laboratory tests, such as urine analysis and sexually transmitted infection screenings, may be indicated based on the history and physical findings. Referral to a urologist may be necessary for further evaluation and management, especially in cases of suspected serious conditions like penile fracture, urethral injury, or penile cancer. Early identification and appropriate management of the cause of penile bleeding can prevent complications and improve outcomes.
Let us look at the major differentials
Condition | Description |
---|---|
Trauma | Includes accidental injury or rough handling leading to penile bleeding. |
Urethral Injury | Damage to the urethra from trauma or instrumentation, presenting with bleeding, especially after severe urine retention. |
Penile Fracture (PF) | A rare emergency where... |
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