Male GU

Question 1

are sperm produced and matured in the seminiferous tubules?

Answer 1

false, they are produced there but mature in the epididymis

Question 2

what makes testosterone?

Answer 2

interstitial cells of ledyig cells

Question 3

what is fsh in charge of ?

Answer 3

it’s in charge of sperm cells formation, and is produced by sertoli cells

Question 4

when do erections and ejaculation start?

Answer 4

erections start in the womb while ejaculation happen at puberty

Question 5

erectile dysfunciton

Answer 5

• can’t maintain or achieve
• due to organic causes such as neurogenic (stroke, Parkinson’s), hormonal, vascular (diabetes,), or drug induced

Question 6

-inflammation of glans
-due to hygiene, oo phimosis

Answer 6

balanitis

Question 7

peyronie disease

Answer 7

-fibrous tissue that causes curvature during ERECTION
can go away itself or with meds/surgery

Question 8

priapsim

Answer 8

-holding an erection for too long involuntary
- go to EMERGENCY DP
seen with leukemia, sickle cell, spinal cord trauma
-treated with hydration (sc), aspiration of blood

Question 9

hydrocele

Answer 9

accum. fo fluid in layers of tunica vaginalis
due to infection, seen with illuminating it

Question 10

-enlargement of vein in spermatic cord
-can cause infertility

Answer 10

varicocele

Question 11

testicular torsion

Answer 11

-torsion of spermatic cord
-very painful
- have 6 hours to get into surgery
-doesnt alleviate with elevation
-you have N/V, tachycardia, ischemia
CREMASTER REFLEX IS GONE

Question 12

epididymitis

Answer 12

-inflammation of epi.
-unilateral pain, + cremaster reflex
-elevation helps with pain “prehn signs”

Question 13

orchitis

Answer 13

inflammation of testes
due to infection, STI

Question 14

what is the most common orchitis?

Answer 14

mumps orchitis: after 3-4 days of parotitis , can cause sterility

Question 15

testicular vs prostate cancer

Answer 15

testicular: happens in young male, risk factor is undescended testes and first sign is enlarged testes
prostate: seen in older men, tested with having low prostate specific antigen, asymptomatic in beginning

Question 16

BPH

Answer 16

benign prostate hyperplasia
- non malignant
-can cause UTI, problem with starting to pee,, decreases force of urination, nocturia,
ANTICHOLINERGICS SHOULD NOT BE GIVEN

Question 17

opening of urethra on ventral (bottom) side of penis
opening of urethra on dorsal side of penis
phimosis:
paraphimosis:

Answer 17

-hypospadia
-epispadia
-can’t pull back foreskin/too tight
-foreskin cant go back to original state