Male Genitourinary Flashcards
enumerate the functions of the male GU system:
- Manufacturing & protecting sperm for fertilization.
- Transporting sperm
- Regulating hormonal production & secretion of male sex hormones (testosterone)
- Providing sexual pleasure
- Excreting urine
sac that contains testes
scrotum
produces sperm and releases testosterone.
testes
duct from epididymis to ejaculatory duct.
vas deferens
protective sheath around the vas deferens and contains nerves, blood vessels and vas deferens
spermatic cord
produces 70% of semen
seminal vesicles
secretes alkaline substance to neutralize vaginal secretions
bulbourethral gland
produces 20% of semen. and is in direct contact with first part of urethra, moreover, it encloses the neck of the urinary bladder.
prostate
stores sperm until it is mature.
epididymis
filters blood and removes wastes.
kidney
tube connecting kidney to bladder.
ureter
hollow, muscular structure, holds urine.
bladder
passageway for urine
urethra
male sex organ and urine elimination
penis
important for sexual arousal
glans penis
canal for vas deferens from scrotum through the abdominal muscles, inguinal lymph nodes, additionally, it is known for the site for hernia
inguinal area
in the developmental variation for infants, it is the stage where undescended testes & few rugae (testes is located at the lower quadrants in infants) is known
premature
scrotal edema or ecchymosis (bluish discoloration of testes) usually found in infants
breech
accumulation of fluid due to heart disease
ascitis
ventral or dorsal CURVATURE of the penis (common)
chordee
common lf boys under 2
hydroceles and hernias
what is the relationship of the cardiovascular system to the male genitourinary system?
for Nutrients & sex hormones transport and Sexual excitement - erection
what is the relationship of the urinary system to the male genitourinary system?
for ejaculation; urination with the help of the urethra
prostate gland hypertrophy - difficulty in micturition, urinary retention; UTI
it is the difficulty in micturition, urinary retention; UTI
prostate gland hypertrophy
they are known to increase bone density
androgens
_____(ventral urethral opening on the glans) & ____ (dorsal opening)
hypospadias & epispadias
are childer prone to Hernia or lymphadenopathy?
yes
are lumps, masses,in genitals; movable; hard or soft; painful to touch in children
Hernia lymphadenopathy
inflammation of the testis
orchitis
it is the infertility as a result of orchitis in children illnesses
mumps(parotitis)
also known as bed wetting
enuresis
what stage of developmental variation in men has a problem of undescended testis
Childhood stage
use to track sexual maturation in male during puberty by characcharacterizing pubic hair distribution, penile & testicular size
tanner staging
what stage in tanner staging identify the darker, coarser, curlier sexual hair
stage 3
what stage in tanner staging identify the preadolescent no sexual hair
stage 1
what stage in tanner staging identify the sparse pigmented, long, staight mainly along the labia and at base of penis
stage 2
what stage in tanner staging identify the adult but decreased distribution of
stage 4
what stage in tanner staging identify the adult in quantity and type with spread to medial thighs
stage 5
what developmental stage is this. it is when Grey & thinner pubic hairs, atrophic penis; smaller testicles, a larger prostate, Scrotal sac loses elasticity, decreased seminal fluid & rapid detumescence
older adults
medications used to treat ejaculatory failure
Methyldopa
used to treat impotence, decreased sexual activity, decrease libido )sex drive
clonidine
Occurs in uncircumcised males that the foreskin is unable to retract & become swollen
phimosis
inability to return foreskin over penis because of edema that is caused by yeast or bacterial infection under foreskin (assessment findings)
paraphimosis
identify what symptom is this:
usually acute onset & often follows trauma/infection
Epididymitis - STD & UTI’s
Testicular torsion - surgical emergency
Prostitis - perineal pain
genital pain
Identify what symptom is this:
Vesicles, ulcers, warts or rashes may indicate a variety of problems
Morphological description of lesion may help identify the problem
Painful or not
Often symptoms of STD – but may also be caused by systemic problem or carcinoma
Genital lesions
identify what symptoms is this :
Edema
May result from local trauma or infection, but may also be associated with systemic problem such as Congestive Heart Failure (CHF)
Swelling in the inguinal area – may signal presence of hernia
genital swelling
occurs when the spermatic cord (from which the testicle is suspended) twists, cutting off the testicle’s blood supply, a condition called ischemia.
Testicular torsion
type of discharge where caused by trauma, infection, or cancer, most likely with Infectious origin usually accompanied by pain
Bloody discharge
– thin, watery discharge
prostatitis
yellow discharge
chlamydia
copious, thick, yellow discharge
gonorrhea
– inability to achieve satisfactory sexual performance
Includes inability to achieve erection, achieve complete erection, maintain erection or ejaculate
erectile dysfunction
it indirectly contributes to erectile dysfunction
High- saturated fat; high cholesterol diet; associated with atherosclerosis
inability to obtain an erection firm enough for vaginal penetration, or the inability to sustain the erection until completion of intercourse
Organic impotence
impotence caused by anxiety, guilt, depression, or conflict around various sexual issues
psychogenic impotence
painful sustained erection without sexual desire, usually due to spinal cord lesion, history of sickle cell anemia; leukemia, metastatic CA
Priapism
Causes painful, reddened group of small vesicles or blisters on the prepuce, shaft or glans. it eventually disappear but tend to recur
Genital herpes
signals primary syphilis
chancre
– late syphilis stage that can cause paresis, tremors, personality changes & psychosis
neurosyphilis
a parasitic disease that is caused by thread-like roundworms belonging to the Filarioidea type.[1] These are spread from by blood-feeding black flies and mosquitoes
- Filariasis or philariasis
type of genital abnormality that is flesh- colored, soft, moist papillary growth that occurs singly or in cauliflower-like clusters, barely visible or several inches in diameter
Genital warts
Fungal infection of the groin
Jock itch
Tinea Cruris
swelling & widening of veins along the spermatic cord
“bag of worms” & slowly collapse when scrotum is elevated
right sided – obstruction (vena cava)
Varicocele
Painless, ulcerative lesion on the glans or prepuce (foreskin)
With/ without discharge
penile cancer
Smooth, firm, symmetrical enlargement of the prostate gland which typically starts at the age of 50.
Findings may be associated with urinary hesitancy, nocturia & frequency & recurring UTI.
Prostate gland enlargement
protrusion of an organ through an abnormal opening in the muscle wall, It may be direct or indirect Inguinal or femoral. morevoer, it is caused by Heavy lifting
Hernia
Mass enlarges when coughing; emerges from behind the external inguinal ring & protrudes through it. This type of hernia seldom descends into the scrotum & usually affect men older than age 40
Direct inguinal hernia
Most common. It occurs in men of all ages. It can be palpated in the internal inguinal canal with its tip in or beyond the canal, or the hernia may descend into the scrotum.
Indirect inguinal hernia
Uncommon in men. Feels like a soft tumor below the inguinal ligament in the femoral area. It may be difficult to to distinguish from a lymph node
Femoral hernia
- one testis is inside (premature) while the other one is outside
CRYPTORCHIDISM (undescended testes)
- cyst in the scrotum- can be removed if no pain
- benign if capsulated and not painful, slow growth - malignant
SCROTAL CYST
- red, bluish (cyanosis)
- diabetes - viscosity of blood cannot reach extremities leading to
oxygen deprivation - necrotic tissues are present
Gangrene of the testicles
- brought upon by mosquito who inject egg into blood, which travel over the body, it will hatch on testes which are cold temperature then there will be worms
ELEPHANTIASIS
2 childhood illnesses
mumps
testicular CA risk
a medication that have a side effect of erectile dysfunction
Anti Hypertension
Circumcision
cultural & ethnic variations influences decision
US - _____
Canada, England, Sweden -_____
Jews & Muslim - ____
Philippines - _____
cultural & ethnic variations influences decision
US - recommended for health benefits
Canada, England, Sweden - not necessary
.
Jews & Muslim - religious practice
Philippines - hygiene
Hard round papul with erythematous halo
chancre
later stage of syohilis
charcot’s joint
hernia that affects all men of ages
Indirect Inguinal Hernia
what are four symptoms of male Gento system
Genital Pain
genital lesion
genital swelling
penile discharge
what are four symptoms of male Gento system
Genital Pain
genital lesion
genital swelling
penile discharge
Common complaints of Urinary Problem
Dysuria
Burning
frequency
Changes in urinary pattern
hematuria
Potrusion of an organ
due to heavy lifting
hernia
