Male and Female Urogenital Triangle Flashcards
urethral catheterization
- to remove urine from a person who can’t pee
- to irrigate bladder
- obtain an uncontaminated sample of urine
urethral sounds
slightly conical instruments for exploring and dilating a constricted urethra
what must you consider when inserting a urethral catheter or sound in males?
curves of the male urethra - can be ruptured in the intermediate part
urethral stricture cause
may be from eternal trauma of the penis or infection of urethra
what is the narrowest and least distensible part of the urethra?
external urethral orifice
orchitis
inflammation of the testes
elephantiasis
parasitic disease that causes enlarged scrotum
hypospadias
common congenital anomaly of penis - most common form = glanular hypospadias
glanular hypospadias
external urethral orifice on ventral aspect of the glans penis
penile hypospadias
external urethral orifice in body of penis
peno-scrotal or scrotal hypospadias
external urethral orifice in the perineum
what causes penile and penoscrotal hypospadias?
failure of the urogenital folds to fuse on the ventral surface of the penis
phimosis
when prepuce fits tightly over glans and cannot be retracted easily
smegma
oily secretions of cheesy consistency from modified sebaceous glands in the prepuce that accumulate in the preputial sac and cause irritation
preputial sac
b/w the glans and prepuce
paraphimosis
retraction of the prepuce over the glans penis constricts neck of glans so much that there is interference w/ drainage of blood and tissue fluid
circumcision
surgical excision of the prepuce
impotence
inability to obtain erection
erectile dysfunction (ED)
may occur in the absence of a nerve insult - can be due to:
- hypothalamic and endocrine disorders -> reduced testosterone secretion
- failure of nerve fibers to stimulate erectile tissues
- blood vessels insufficiently responsive to autonomic stimulation
female circumcision
removes prepuce of clitoris and usually part or all of clitoris and labia minora - erroneously thought to inhibit sexual arousal and gratification
vulvar hematomas
localized collection of blood
how can you get vulvar hematoma of the labia majora?
trauma to the highly vascular bulbs of the vestibule
infection of the greater vestibular gland
- palpable when infected
- can occur due to occlusion of the vestibular gland duct
what is the origin site of most vulvar adenocarcinomas?
greater vestibular glands
Bartholinitis
inflammation of the greater vestibular (Bartholin) glands
Bartholin gland cyst
occlusion of the vestibular gland duct without infection - instead accumulation of mucin
ilio-inguinal nerve block
abolishes sensation from the anterior part of the perineum
Kegel exercises
exercises for women to strengthen the usually underdeveloped perineal muscles
vaginismus
psychosomatic gynecological disorder that presents w/ involuntary spasms of the perivaginal and levator ani muscles
- mild forms cause dyspareunia
- severe forms prevent vaginal entry
dyspareunia
painful intercourse