Male Reproductive Flashcards
Where is the primary area of prostate carcinoma development in men?
The peripheral zone
What area of the prostate surrounds the urethra and is associated with BPH?
The transition zone
What is the demarcation of the onset of puberty in men?
Testicular growth
Of the 4 aspects of examination, what are the two used in the male reproductive system examination?
Inspection and palpation only
If a male presents with urethral discharge, what should the provider do?
Culture the discharge to identify the cause
If you palpate the testes and discover a nodule, should you investigate further?
Yes
You note a varicocele in your male patient. He lays down and the varicocele seems to resolve. Is this normal?
Yes, variocele’s will resolve from palpation when the patient lays down
Key Findings/Physical Exam:
-abnormal urethral opening on the ventral aspect of the penis requiring surgical correction
Hypospadias
Key Findings/Physical Exam:
-Inability to retract the foreskin of an uncircumcised penis
Phimosis
Key Findings/Physical Exam:
-forcefully retracted foreskin resulting in tightening, swelling and entrapment of the foreskin around the glans penis that can cut off circulation to the glans
Paraphimosis
Key Findings/Physical Exam:
-no testes noted in the scrotum by 4 months requiring surgical correction
Undescended testes
Key Findings/Physical Exam:
-collection of peritoneal fluid in the scrotal sac resulting in fascial defect in the inguinal canal
Hydrocele
Key Findings/Physical Exam:
-dilated twisted veins surrounding the spermatic cord
-typically occurs on the L hemiscrotum
-“bag of worms”
Varicocele
Key Findings/Physical Exam:
-pain, swelling, inflammation or the epididymis for up to 6 weeks
-typically a secondary infection in the setting of STIs
Epididymitis
Key Findings/Physical Exam:
-acute onset testicular pain and swelling
-transverse testicular lie
-negative cremasteric reflex
-ischemia and death of the testes can occur within 6-12 hours
Testicular torsion
