Ch 34- Alterations in Male Reproductive Systems Flashcards
What is the common caused of urethritis?
STI
What is urethritis?
inflammation of urethra
What are the two types of urethritis? Explain.
- Gonococcal urethritis – caused by Neisseria gonorrheoeae
- Non-infectious urethritis – associated with ingestion of wood alcohol or turpentine
What is caused by gonococcal urethritis?
Neisseria gonorrhoeae
What are symptoms of urethritis?
urethral tingling, itching, burning sensation; urinary frequency and urgency
clear mucous- like discharge
What is the diagnosis for urethritis
urine nucleic acid detection amplification test
What does nucleic acid detection amplification test do?
allows detection of N. gonorrhoeae and Chlamydia trachomatis
What is the difference between phimosis & paraphimosis?
phimosis – foreskin can’t be retracted
paraphimosis - foreskin is retracted but can’t be moved forward to over the gland.
How to possibly eliminate paraphimosis and phimosis?
circumcision
T or F: Priapism is not a urological emergency.
FALSE; Its a urological emergency
What is the tx for priapism?
needle aspiration of blood from dorsal glans (artery on top of penis surface)
What disorder of penis is associated with uncommon prolonged penile erection usually painful & not associated with sexual arousal?
priapism
What disorder of scrotum is associated with ab dilation of testicular veins – described as bag of worms?
varicocele
How often does varicocele occurs?
10-15% of men
Varicocele 90% occur on ___ (1) side due to structure of venous drainage.
left
Which disorder of scrotum is associated with benign cysts and collection of fluid in epididymis?
spermatoceles
T or F: Spermatoceles can cause significant pain.
TRUE
Men with spermatoceles invovled cysts filled with ____ (1) fluid due to involvement of ____ (2)
milky (1) & sperm (2)
Which disorder of scrotum is associated with excessive fluid between layers of tunica vaginalis?
hydrocele
T or F: Varicocele is congenital.
FALSE; Hydrocele.
Men with hydrocele often resolve spontaneously in ___ (1) year of life. Tend to be ___ (2) serious if last past first year.
- first
- more
What is cryptorchidism?
ab where testes do not descend completely
Where does testes remain in men with crpytorchidism?
abdomen or inguinal canal
What is the cause of cryptorchidism?
short spermatic cord, adhesions and narrow inguinal canal
What are the tx for cryptorchidism?
GnRH & surgery to relocate testis
What are the manifestations for cryptorchidism?
testicular cancer –5ox
What is the acute inflammtion of testes?
orchitis
What is the most common infectious cause for orchitis?
mumps
What is the infection path for orchitis?
urethra, vas deferens, epididymis & testes
What is the inflammation of epididymis?
epididymitis
Who are at risk for epididymitis?
young male who are sexually active
What is the cause of epididymitis?
due to STIs: N. gonorrhoeae & C. trachomatis
What is chemical epididymitis?
caused by reflux of sterile urine into ejaculatory ducts
