Male genitourinary Flashcards
BPH
benign prostatic hypertrophy/ hyperplasia
- enlarged prostate
UTI in males are ..
more virulent
upper UTI
kidney/ ureters
Pyelonephritis
Lower UTI
Bladder and below
What do you always need to do before giving antibiotics for UTI?
C&S
1/2 men 50+ …
have prostate enlargement symptoms
- grows with age
Age-related changes in males
decreased:
sperm production
pubic hair (gray)
penis size
pendulous appearing scrotum
what increases risk of bladder cancer?
Smoking
BPH causes what
obstruction of urine stream
risk of UTI
How is chronic kidney disease diagnosed
blood testing, UA, imaging
causes of Chronic kidney disease
hypertension and diabetes mellitus
Dysuria
difficulty/ painful urination
nocturia
excessive urination at night
polyuria
Excess quantity of urine
Oliguria
diminished urine output
- less than 400 mL in 24 hr
what is considered decreased urine output?
less than 400 mL in 24 hr
16.67 mL/ hr
Anuria
absence of urine
HIV & Herpes
NO cure
Only Treatment
Hypospadias
urethral opening on the POSTERIOR aspect of the penis
Epispadias
urethral opening on ANTERIOR aspect of the pensis
Urethritis
inflammation of the urethra
Phimosis
prepuce opening is narrowed NOT allowing for foreskin retraction
- foreskin stuck pulled down
Paraphimosis
Retraction of the foreskin associated with glan constriction pain
-Foreskin stuck in pulled back position
Renal Calculi
Kidney stones
- abdominal/ grain flank pain
what is the test for renal calculi/ kidney stones?
check costal vertebral angle
With urethritis evaluate for …
erythema
edema
purulent discharge
Urethritis is associated with…
gonorrhea/ chlamydia
Scrotal asymmetry
normal finding
Scrotal edema
associated with heart/ renal failure
- localized inflammation/ trauma
Sebaceous cysts in the scrotum
normal finding up to 1 cm nodule (multiple)
Transillumination
used in the evaluation of swelling or mass in the scrotum
- shine light behind scrotum
RED: abnormal
What can “red glow” with transillumination indicate ?
hydrocele, spermatocele, cyst of epididymitis
Hernia
protrusion of bowel outside abdominal wall
Testicular self examination (TSE)
T: timing, monthly
S: shower, use warm water scrotal sac relaxation
E: examine, note any changes and report to provider
Testicular cancer
near 100% cure prior to metastasis
UA/ urinalysis
color/ consistency
pH, glucose, RBC, WBC, Bacteria, Protein
Presence or absence
NON- SPECIFIC
Pyelonephritis
infection of the kidney/ upper renal system
Testicular torsion
Medical EMERGENCY
- if not treated= amputation or gangrene/ necrosis