Male GU (Exam 3) Flashcards
Penis
reproduction and urination
urethra
foreskin
frenulum
Scrotum
continuation of abdominal wall; protective covering for the testes
Testis
two halves, which produce sperm
Epididymis
main storage site for sperm
Other components of male genitalia
vas deferens
spermatic cord
ejaculatory duct
Lymphatics
penis and scrotal surface drain into inguinal lymph nodes
testes drain into abdomen
Developmental Considerations: Adolescents
first sign of puberty is testes enlargement, then pubic hair growth, then penis size increase
WHITES AND HISPANICS AT AGE 10, AAs AT AGE 9 (TANNER STAGING)
earlier onset of puberty throughout the years, possibly related to chemical exposure, diet changes and less physical activity
Youth experience of bullying, discrimination, and homophobia regarding gender identity can lead to…
increased risk for high-risk behaviors, drug behaviors and mental health concerns
Men vs women fertility
men don’t experience a definite end to fertility like women, but there is decline
Developmental Considerations: Adults and Aging Adults
ED
Enlarging prostate (hematuria, UTIs, nocturia)
decreasing testosterone levels (fatigue, decrease in libido, sexual function, and penis size)
Causes of ED
PSYCHOLOGICAL (stress, anxiety, fatigue)
PHYSICAL (diabetic neuropathy, CV disorders, spinal cord injury)
NON-PHYSICAL (anti-hypertensive meds)
STIs
INCREASING #s EACH YEAR
chlamydia, gonorrhea, syphilis, HPV, HIV, Hep B MANY ARE ASYMPTOMATIC LEADING TO INCREASED TRANSMISSION
COUNSELING INTERVENTIONS!!
Terms for genitourinary
frequency (polyuria, oliguria)
urgency
nocturia
dysuria
hesitancy
hematuria
enuresis
Subjective Data: Past History
any GU problems
last testicular exam
STDs/STIs
circumcision (benefits? culture, family tradition, religious beliefs)
Subjective Data: Family History
cancer
benign prostatic hypertrophy (BPH)
other illnesses
Collecting Subjective Data
frequency, urgency, nocturia (how many times do they urinate? how many times do you wake up at night to pee?)
dysuria (any pain or burning?)
hesitancy and straining (dribbling, difficulty starting)
urine color (discoloration, foul odor, sediment?)
past GU history (kidney disease, UTIs, kidney stones? urge vs stress incontinence?)
penis (pain, lesion discharge?)
scrotum, self care behaviors, lump
sexual activity and contraceptives
STI contact (former STI, partner with STI?)
Blue urine color
medication side effect (amitriptyline, indomethacin)
foods like asparagus
dye after prostate surgery
Dark gray urine color
urine contains melanin (melanuria)
Tea urine color
liver disease, especially with pale stools and jaundice
myoglobinuria
some meds and food dyes
blood in urine
Pink urine color
menses
foods like beets, berries, food dyes
some laxatives
kidneys stones
UTIs
Red urine color
blood
nephritis, cystitis
cancer (prostate, bladder)
following prostate surgery
Orange urine color
med side effect (rifampin for meningitis, pyridium, warfarin)
some foods, food dyes, laxatives
dehydration
jaundice (bilirubinemia)
Amber urine color
gold or concentrated with dehydration
some laxatives
food or supplements with B complex vitamins
Yellow urine color
natural yellow is urochrome excretion, a pigment in blood
bright neon yellow with vitamin supplements
