Male Reproductive Flashcards
Men who have had strokes or MI’s may experience?
physiologic or psychological erectile dysfunction
The occurrence of mumps in men has been associated with?
sterility
Men with DM may experience?
erectile dysfunction and retrograde ejaculation
Antihypertensives may cause?
ED
Name two antihypertensives that can cause ED:
amlodipine and lisinopril
psychotropic meds may interfere with?
sexual performance
men 50 and over should have annual?
PSA drawl and digital prostate screening
firm enlargement of glandular tissue beneath and surrounding the areola usually due to hormonal imbalance is called?
gynecomastia
medical treatment of gynecomastia?
- medication
- possible surgical removal
- emotional support
PSA with increased levels .4 is associated with?
- Prostate cancer
- BPH
Ultrasonograpthy
TRUS
sympathetic and parasympathetic components, psychogenic and organic causes, can be secondary to a variety or disorders or pharmacologic agents
ED
risk factors of ed?
- occlusive vascular disease
- endocrine disease
- chronic renal failure
- neurologic disorders
- trama
- depression
- anxiety
- alcohol
- meds
- drug abuse
diagnosis of ed?
- obtain sexual and med history
- serum level: testosterone, prolactin, and thyroid hormone, nocturnal penile tumescence and rigiscan testing, vascular studies
meds for ED:
- phosphodiesterase-5 inhibitors
- vaso active injections
what is inflammation of the prostate caused by infection or other conditions classified as acute or chronic?
prostatitis
S/S of prostatitis?
- fever
- chills
- back pain
- perineal pain
- prostatodynia
- dysuria
- urinary frequency
- nocturia
Diagnostic for prostatitis:
- CBC
- UA
- blood and urine cultures
- PSA
- DRE (only if not acute)
Nursing management of prostatitis:
- antibiotics
- analgesics
- hot sitz bath
- fluids to satisfy thirst
- avoid activity that results in perineal trauma
most common cancer and 2nd most common cancer death in men.
prostate cancer
rick factors for prostate cancer:
65 yrs, AA, family history, dietary factors
S/S of prostate cancer:
- hip/back pain
- weight loss
- anemia
- oliguria
Diagnosis of prostate cancer:
- PSA and DRE
- biopsy via transrectal ultrasound
- bone scan
- CT
Medical management of prostate cancer:
- surgical management
- radiation therapy
- hormonal therapy
- complications sexual function
orchitis and epididymitis is?
- acute inflammation or the testes
- infection
- STD - Chlamydia
Testicular cancer has a 90% ____ rate for all stages.
cure
constricted foreskin that can cause balanitiis, adhesions and fibrosis.
- more common in men with DM
- corrected by circumcision
phimosis
retracted foreskin that cannot be returned over the glans
- catheterization of uncircumcised males
- notify HCP immediately
paraphimosis
persistent erection considered a urologic emergency.
priapism
