male genitourinary system

Question 1

What does the male genitourinay system include?

Answer 1

• penis
• scrotum
• testes
• epididymis
• vas deferenes

Question 2

penis

Answer 2

• consists of three cylindric columns of erectile tissue
• 2 corpus cvernosa
• coupus spongiosum
• scotum= loose protective sac that is continuous of the abdominal wall
• The cremaster mm= controls teh size of the scrotum by responding to ambient temperature to keep the testes at 3 degrees celcius

Question 3

The inguial canal

Answer 3

narrow tunnel that passes obliquely between layers of abdominal mm

Question 4

femoral canal

Answer 4

potenital space located 3 cm medical to and parallel with the femoral artery. frequent site for hernias

Question 5

developmental changes of the male genitourinary

Answer 5

• adolescences= enlargement of the testes, pubic hair development, increase in penis size
• in the aging male, the amount of pubic hair decreases, penis size decreases, decrease testosterone levels

Question 6

subjective data for the male genitourinary system

Answer 6

• ask about urinary frequency, urgency, and
  nocturia; dysuria (burning or pain), hesitancy, and straining; urine color;past genitourinary history, and sexual history;penis problems; scrotum or testicle problems, such as lumps or bulges; sexual transmitted infections, and self-care behaviors including contraception.

Question 7

objective data for the male genitourinary system

Answer 7

• inspect and palpate the penis; notating the condition of the skin
• inspect and palpate the scotum noting that the left scotal hald is usually lower that the right
• inspect and palpate the inguinal region for a bulge (hernia)
• palpate the inguinal lympth nodes
• assess urinart function by performing urinalysis (normal urine is clear and slightly acidic)
• perform the genitourinary exam in an infant or toddler directly after the addominal inspection

Question 8

when does puberty being for males?

Answer 8

• 9 years for AA males
• 10 years for caucasians and hispanics

Question 9

tanners staging for puberty

Answer 9

1. no pubic hair, preadolescent size and proportion as during childhood (penis and scrotum)
2. few straight, slightly darker hairs at base of penis, hair is long and downy (penis has little to no enlargement, while the scrotum and testes being to enlarge)
3. sparse growth over entire pubis, hair is darker, coarser and curly (penis beings to enlarge and so does scrotum)
4. thick growth over pubic area but not on thighs; hair coarse and curly as an adult (penis grows in length and diameter with development of gland; testes are almost fully grown and scrotume is darker)
5. growth and spread over medial thighs, alough not set up torwards umbilus; after puberty, pubic hair growth continues until the mid-20s extending up the abdomen toward the umbilicus (penis and scrotum is adult size)

Question 10

adults and older adults male genitourinary

Answer 10

fertility
* does not experience a definite and end to ferility

pubic hair, penis & scrotal changes
* hair decreases and turns gray, penis size decreases, scrotal contents hand lower

prostate
* undergoes an expected tissue hyperplasia (enlargement) in 80% of men

testosterone
* decling production

Question 11

cultural and genetics

Answer 11

gender and identity and sexual orientation
* crical for the provider to be open and accepting
* conpetency with terminology

circumcision
* benefits vs risk
* benefits= reduced risk of HIV, UTI BV
* RISK= Pain, bleeding, swelling, inadequate skin removal

Question 12

physical exam

Answer 12

• inspection of the penis and scrotum
• note presence of any abnormalities (lesions, discharge, swelling, masses, sores)
• hygiene & infestatious
• note location of the urethral meatus
• inspect foreskin, penile head and hygiene

Question 13

abnormal findings of the male genitourinary system

Answer 13

symptoms of UTI
* Inability to pass urine with bladder distention and lower abdominal pain

symptoms of renal calculi
* severe flank pain with radiation to the groin or abdomen, N/V, restlessness, hermaturia (blood)

hypospadias
* urethral meatus opens under glans

Epispadias
* meatus opens upper side of glans

phimosis
* nonretractable foreskin forming a pointy tip

paraphimosis
* foreskin is retracted but cannot return to original postion

Question 14

phimosis

Answer 14

• prolonged erection of the penis

Question 15

bladder cancer

Answer 15

• 4th most common cancer in men
• harmless
• hemsturia

Question 16

kidney disease

Answer 16

• determined by blood test that shows kidney damage lasting longer than 3 months