Assessment Of The Male Genitourinary System Flashcards
(5) functions of the Male GU System
- Manufacturing and protecting sperm for fertilization
- Transportation of sperm
- Regulating hormonal production and secretion of male sex hormones
- Providing sexual pleasure
- Excreting urine
Sac that contains the testes
Scrotum
Produces sperm and testosterone
Testes
Duct from epididymis to ejaculatory duct
Vas deferens
Protective sheath around the vas deferens
Spermatic cord
3 tubes that the spermatic cord houses
- Nerves
- Blood vessels
- Ductus deferens
Produce 70% semen
Seminal vesicles
Decrease acidity after urination
Seminal fluid
In male, it secretes alkaline substance to neutralize vaginal secretions
Bulbourethral glands
- produces 20% semen
- has direct contact with first part of urethra
- located at the neck of the urinary bladder
Prostate
Stores sperm until it is mature
Epididymis
Filters blood and removes waste
Kidney
Tube connecting kidney to bladder
Urethra
Passageway for urine
Urethra
Male sex organ and urine elimination
Penis
Important for sexual arousal
Like clitoris
Glans penis
- canal for vas deferens from scrotum through the abdominal muscles, inguinal lymph nodes
- site for hernia
Inguinal area
Causes vasodilation of the arterioles in the penis resulting in erection
Sexual excitement
Hormones that increase bone density
Androgens
Achieved with an intact detrusor muscle, internal sphincter muscle tone, and external sphincter contraction
Bladder continence
In the neurological system of male, it happens when their is contraction of the detrusor muscle and relaxation of the sphinter
Micturition
3 hormones that triggers testosterone secretion and spermatogenesis
Gonadotropin releasing hormone, luteinizing hormone, and follicle stimulating hormone
Undescended testes and few rugae
Premature
Scrotal edema or ecchymosis
Breech
Ventral urethral opening on the glans
Hypospadias
Dorsal opening on the glans
Epispadias
Common findings in boys under the age of 2
Hydroceles and hernias
- water in testicles
- subsides, water will be reabsorbed
- enlargement due to fluid accumulation
Hydroceles
Refers to ventral or dorsal curvature of the penis
- not a disease but an anatomical position
Chordee
Flu, inflammation of the abdomen
Ascitis
- infection
- hernia lymphadenopathy
- sexual abuse
- injury during play
- toilet training
- problem in urination
Children
Inability to control urination
Bed wetting
Enuresis
Infertility as a result of orchitis
Inflammation of the parotid gland
Mumps (parotitis)
- inflammation of the testis
- acute pain, swelling, and warm scrotal skin
- MMR immunization
Orchitis
- undescended testicles
- inguinal hernia
Testicular CA Risk
Use to track sexual maturation in male during puberty by characterizing pubic hair distribution, penile, and testicular size
Tanner Staging
- preadolescent and no sexual hair
I
Spars, pigmented, long, straight, mainly along the labia and at the base of the penis
II
Darker, coarser, and curlier
III
Adult, but decreased distribution
IV
Adult in quantity and type with spread to medial thighs
V
- leads to erectile dysfunction
- depression (risk factor)
Anti Hypertension
Where circumcision is recommended for health benefits; high rate
US
Where circumcision is not necessary
Canada, England, Sweden
Circumcision as a religious practice
Jews and Muslim
- occurs in uncircumcised males
- foreskin is unable to retract and become swollen
Phimosis
- inability to return foreskin over penis because of edema, yeast, or bacterial infection
Paraphimosis
- usually has an acute onset and often follows trauma or infection
Genital Pain
(2) can cause epididymitis
STD, UTI
- perineal pain (bacterial or non bacterial in origin)
Prostitis
- vesicles, ulcers, warts, or rashers
- often symptoms of STD, but also maybe caused by a systemic problem or Carcinoma
Genital lesions
- edema
- may result from local trauma or infection, but maybe associated with systemic problem such as CHF
Genital Swelling
What does swelling in the inguinal area indicate
Hernia
Normal drainage of penile discharge
Seminal fluid and urine
- copious, thick, yellow discharge
Gonorrhea
Yellow discharge
Chlamydia
Thin, watery discharge
Prostatitis
Discharge that indicates trauma, infection, or cancer
Bloody discharge
Usually accompanies infectious origin
Pain
Often associated with male reproductive organs
Urinary system
(5) common complaints of male in urinary problems
- Dysuria
- Burning
- Frequency
- Changes in urinary pattern
- Hematuria
Often causes urinary problem
Reproductive problems
Painful sustained erection without sexual desire
Priaprism
- causes painful reddened groups of small vesicles or blisters on the prepuce, shaft, or glans
Genital Herpes
- indicates primary syphilis
- hard, round papule with erythematous halo, surrounding edema, friable base
- palpated- button like
- eventually erodes into an ulcer
- swollen lymph nodes in the inguinal area
Chancre
- late syphilis stage that can cause paresis, tremors, personality changes, and psychosis
Neurosyphilis
- caused by condyloma acuminatum
- flesh colored, soft, moist papillary growth that occurs singly or in cauliflower-like clusters
- barely visible or several inches in diameter
- caused by HPV
Genital Warts
- fungal infection of the groin
- jock itch
Tinea cruris
- swelling and widening of veins along the spermatic cord
- “bag of worms” and slowly collapse when the scrotum is elevated
- right sided indicates obstruction in the vena cava
Varicocele
- painless ulcerative lesion on the glans or prepuce (foreskin)
- with or without discharge
Penile Cancer
- painless scrotal nodule that can’t be transilluminated
- benign or cancerous
- tumor can grow, enlarging the testis
Testicular tumor
- smooth, firm, symmetrical enlargement of the prostate gland
- 50 years old
- urinary hesitancy, nocturia and frequency, and recurring UTI
- back pain
Prostate Gland Enlargement
- protrusion of an organ through an abdominal opening the muscle wall
- it may be direct or indirect
- inguinal or femoral
- heavy lifting
Hernia
- hernia that emerges from behind the external inguinal ring and protrudes through it
- seldom descends into the scrotum
- usually affect men older than age 40
Direct inguinal hernia
- palpated in the internal inguinal canal with its tip in or beyond the canal
- descend into the scrotum
- most common
- men of all ages
Indirect inguinal hernia
- feels like soft tumor below the inguinal ligament in the femoral area
- uncommon in men
- difficult to distinguish from a lymph node
Femoral hernia
- testes is rubbery
- another risk for testicular cancer
- undescended testes
Cryptorchidism
- round, firm, nontender cutaneous cyst confined in the scrotal skin
- may result from decrease in localized circulation and closure of sebaceous glands or ducts
Scrotal Cyst
- deprivation of oxygen in the testicles
- symptom of unconnected diabetes
- cyanosis of the extremeties
- necrotic tissue, unable to produce sperm
Gangrene of the Testicles
- filariasis is a parasitic disease that is caused by thread-like roundworms belonging to the Filarioidea type.
- they are spread from by blood-feeding black flies and mosquitos
Lymphedema