Exam 5 - Mens Health Flashcards
prostate gland encircles the ___
urethra
what are the 4 categories of prostatitis
acute bacterial
chronic bacterial
chronic/chronic pelvic pain syndrome
asymptomatic inflammatory prostatitis
organisms that can cause prostatitis
E coli
Klebsiella
Pseudomonas
Gonorrhea
Chlamydia
Group B strep
s/sx of prostitis
fever
chills
dysuria
urgency
pain (back, perineal)
cloudy urine
abx treatment length for acute and chronic prostitis
A: 4 weeks
C: 8-12 weeks
educate: eat yogurt to prevent yeast infection
s/sx of ED
inability to attain, maintain erection
sudden, gradual onset
anger
anxiety
depression
what must you ask all men > 20 y/o if they’ve been given nitro?
if they’ve taken erectogenic meds within the last 24 hours
what can be taken for a HA following erectogenic meds
Tylenol
what meds to avoid if taking Viagra (Sildenafil) or Levitra (vardenafil HCl)
nitrates
caution: alpha-blockers
what meds to avoid with Tadalafil (Cialis)
nitrates
Alpha-blockers
erythromycin
rifampincin
ketoconazole
itraconazole
protease inhibitors
retrograde ejaculation
seminal fluids discharged into the bladder
what medication for BPH can cause retrograde ejaculation
tamsulosin (Flomax)
BPH risk factors
age
family hx
environment
diet
s/sx of BPH
gradual/insidious onset
urinary frequency
urgency
dysuria
bladder pain
nocturia
incontinence
incomplete emptying
difficulty initiating voiding
dribbling
force of stream
when should you start checking for BPH
45 y/o
complications r/t BPH
UTI
calculi
renal failure r/t hydronephrosis
acute urinary retention
–sudden inability to void
conservative care “watching waiting” re: BPH
change diet
avoid decongestants
avoid anticholinergics
restrict evening fluid intake
re-examine annually
review BPH meds - slides 13-15
review BPH meds - slide 13-15
most invasive treatment for BPH
TURP
TURPS acronym
T ubes
U rinary output
R ed drainage
P ieces of clots
S pasms
how long for hospitalization after TURP
24-48 hours
how long are blood clots expected with TURP
24-36 hours
BPH TURP home care
may go home with foley, cath care
Kegel’s
2-3 L fluid/day
prevent constipation
avoid heavy lifting
avoid prolong sitting, driving
refrain from sexual activity
avoid ASA, NSAIDS x2 weeks
avoid alcohol
health promotion re: BPH
DRE (> 50 unless AA, then >45)
decrease alcohol, caffeine
avoid pseudoephedrine, phenylephrine
urinate q2-3h
Kegal
normal fluid intake
post residual void
prostate cancer risk factors
age
African American
family hx
high fat, low veggie diet
genetic variants (8q24, HoXB13, G8r, BRCA2)
prostate cancer s/sx
usually asymptomatic
like BPH
if in bone, pain
normal PSA
0-4
PSA for BPH
4-19
PSA for prostate cancer
10-20
prostate cancer drugs - slide 39-42
prostate cancer drugs - slide 39-42
how long is external radiation needed for prostate cancer
5 days week x4-8 weeks
most common
brachytherapy care for prostate cancer
foley x3 days
drain foley or void into strainer to remove “radioactive seeds”
“seeds” must be in a glass jar
assigned bathroom
no one to sit on their lap
no sexual activity
complications r/t radical prostatectomy
ED
incontinence
hemorrhage
urinary retention
infection
wound dehiscence
DVT
infection of the testicle often cause by a virus or bacteria
orchitis
s/sx of orchitis
pain
swelling
feeling of heaviness in scrotum
fever
common viruses r/t orchitis
mumps
flu
TB
STD
orchitis viral and bacterial treatment
V: rest, pain meds
B: abx, pain meds
epididymitis cause in men < 35
e coli
c trachomatis
N gonorrhoeae
epididymitis cause in men > 35
BPH
UTI
prostitis
epididymitis risk factors
surgical procedures of urinary tract
—STD, UTI
uncircumcised
foley use
s/sx of epididymitis
pain (lower abdomen)
edema
erythema
low grade fever
testicular torsion is a ___ ___
medical emergency
cause of testicular torsion
spontaneous
trauma
physical exertion
sudden pain will develop over 1-2 hours with our without event
2 types of testicular cancer
germinal (seminoma, nonseminomas)
nongerminal
s/sx of testicular cancer
enlargement of 1 testicle with discomfort
abdominal ache
heaviness
mass, lump
back, lower abdominal pain
most common age group for testicular cancer
15-35
testicular cancer risk factors
cryptochidism
HIV
common in twin brothers
T or F. Testicular cancer is highly treatable and curable.
True
where may testicular cancer spread
retroperitoneal lymph nodes
liver
build up of fluid around the testicles
hydrocele
d/t trauma, infection, tumors
fertility NOT affected
cyst on the epididymis
spermatocele
d/t trauma, infection
fertility NOT affected
dilation of a vein in the spermatic cord (varicose vein)
varicelocele
varicelocele treatment
clip the veins
varicelocele s/sx
scrotal heaviness
pain
T or F. Varicelocele causes infertility d/t to decrease blood flow
True
constriction of the foreskin
phimosis
r/t HM, poor hygiene
constriction of the foreskin, unable to cover the glans penis
paraphimosis
inflammation of the foreskin/head of the penis
balanitis
what is given for an erection that has lasted less than 4 hours
decongestants
primary cause of priapism
tumors
infection
trauma
secondary cause of priapism
blood, neurological disorders
renal failure
medications
priapism treatment
ice saline enemas
IV ketamine
spinal anesthesia
aspiration of blood from corpus
vascular shunts
cancer of the penis risk factors
uncircumcised
10+ sexual partners
poor hygiene
phimosis
balanitis
HPV
how to prevent cancer of the penis
no high risk behaviors
good hygiene
condom use
build up of fibrous plaques in the sheath of the corpus cavernosum
peyronie’s disease
buildup beings in ages 45-60
