Male Genitourinary Flashcards
Does fertility end for men?
What factors influence sperm production?
No
- Sperm production begins to decline at 40 (does not stop)
- Testosterone production declines after 30.
What are some causes of withdrawal from sex for older men?
- Chronic disease
- Depression
- Medications
- Alcohol
What subjective data should you collect from men regarding male genitourinary?
- Frequency, urgency, and nocturia?
- Dysuria (pain with urination)
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What are common causes of dysuria?
Acute cystitis
Prostatitis
Urethritis
When collecting subjective data, what questions should be asked about:
Hesitancy and straining
- Trouble starting/maintaing urine?
- Changes in force of stream?
- Dribbling?
When collecting subjective data, what questions should be asked about:
Is urine:
Clear/discolored
Cloudy
Fould smelling
Bloody?
What is a common cause of hesitancy and straining in men?
BPH: Benign Prostatic Hyperplasia
When collecting subjective data, what questions should be asked about:
Genitourinary history
- Stress incontinence?
- History of kidney diseases: Stones, UTI,
- Prostate problems
What are these abnormal findings of testes:
Cyst in epididymis; painless, movable mass
Spermatocele
What is this abnormal finding of scrotum:
Collection of cystic fluid; feeling of weight
Hydrocele
What is this abnormal finding of the scrotum:
Varicose veins in spermatic cord; feels like bag of worms
Varicocele
What is this abnormal finding of the scrotum:
Firm, painless nodule (can’t move)
Testicular cancer
What subjective data should be collected regarding:
Penis and Scrotum
- Pain/lesions
- Discharge?
- Lumps/swellings
- self-care behaviors
Common signs of BPH include:
Frequent urinary tract infections
Hematuria
Urinary incontinence
When performing an examination of the male genitourinary, how should you handle the situation?
Be confident and relaxed
Use firm touch
What are these abnormalities of the penis:
- Foreskin does not fully retract over glans
- Foreskin is trapped behind glands
- Phimosis
- Paraphimosis; restricts circulation
What are these abnormalities of the penis:
- Urethral opening on bottom of penis
- Urethral opening on top of penis
- Hypospadias
- Epispadias
What are these abnormalities of the penis:
- Abnormal curvature of penis
- Involuntary prolonged erection
- Peyronie’s disease
- Priapism
What is this abnormal finding of the scrotum:
Soft swelling through inguinal ring that causes pain with straining
Indirect inguinal hernia
What is this abnormal finding of the scrotum:
Round swelling close to pubis behind inguinal ring (rarely in scrotum)
Direct Inguinal hernia
Who should be taught how to perform testicular self exams?
Why?
Men starting at age 13-14
Testicular cancer most common among men ages 15-35
When teaching about Testicular self examinations, what are these teaching points:
T
S
E
T= timing; once a month
S= shower; warm water relaxes
E= examine; check for changes
Does BPH increase risk for prostate cancer?
What are the similar symptoms among them?
No
Symptoms
- Hesitance
- Weak urine stream
- Dribbling
- Nocturia
Who is most at risk for prostate cancer?
How is prostate cancer detected?
African americans and those with first relatives that had it.
Blood test for prostate specific antigen (PSA)
