Male reproductive system Flashcards
1
Q
After 50
A
- longer to get erected
- drops in testosterone
- sperm count drops
- can still get women pregnant 70 and 80’s
2
Q
Prostatitis
A
- inflammation of the prostate
- may be bacterial, acute or chronic
- may have pain
- antibiotics can be given for bacterial
- oral or IV antibiotics, analgesics and steroids
- sitz baths
- 4-16 wk treatment for the acute type
- stool softners anytime opioids are given
- S/S: swelling, tenerness, urination frequency, possible blood and strong odor.
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3
Q
Epididymitis
A
- inflammation of the epididymis
- from infection, trauma or the reflux of urine from the urethra through the vas deferens
- tx: rest, ice pack
- sitz
- analgesics
- antibiotics
- antiinflammatories
- scrotal support
4
Q
Orchitis
A
- inflammation of both testes
- same tx as the previous one
5
Q
BPH benign prostatic hyperplasia
A
- enlargement of prostate gland
- S/S:
- obstructive symptoms
- decrease size and force of urinary system
- urine retention
- postvoid dribbling
- urgency
- frequent urination
- dysuria
- nocturia
- hematuria
- urge incontinence
- tx:
- maintaining fluid intake
- restricting fluids 2 hr before bed
- avoidance of cafeine and alcohol
- bladder training
- kegel
sx:
prostatectomy
TURP transurethral resection of the prostate
most common
instrument is insertes into the urethra and a laser cuts away parts of the prostate gland
suprapubic prostatectomy
incsion in abdomen
- Complications: pain, discomfor, hemorrhage, urinary leakage, pubic bone inflamation, erectile dysfunction
- Alternative: Microwave thermotherapy
- transurethral needle ablation TUNA
- stents
- balloon dilation
6
Q
Nursing intervention for BPH
A
- assess vitals
- inspect urine, wound drainage
- records I and O
- record urine color and any clots- pink to cherry red is expected post op but should return light pink within 24 hrs= dark red indicates a possible arterial bleed pg 1067 teaching box
- monitor for pain and bladder spasms
- maintain bladder irrigations, if ordered
7
Q
Prostatic Cancer
A
- Cause is unknown
- typically slow growing
- diagnosed by rectal examination, transrectal ultrasound, serum tumor markers, and needle aspiration/biopsy
- tx: radiation, brachytherapy, cryosurgery, radical prostatectomy-watchful waiting for patients with less than 10 yr life expectancy who are poor sx candidates, tx begins as tumor enlarges.
- testosterone Inhibitors: Futamine, Bicalutamide=side effects GI upset, hepatotoxicity.
- Monitor LFT, report GI distress, right sided pain, dark urine and jaundice
- Nursing Care:
- annual screening, stress value of early detection,
- assist with post op complications
8
Q
Erectile dysfunction
A
- inability to produce or maintain and erection
- erection requires intact neurologic function, sufficient inflow of blood to fill corpus cavernosa, leakproof storage mechanism for maintaing the erection
- factors affecting
- cardio atherosclerosis
- endocrine diabetes, low testosterone
- neurological
- meds side effects
- psychological
- smoking
Drug therapy:
phosphodiesterase
viagra
cialis
levitra
devices:
vacuum
pumps
9
Q
Peyronie disease
A
- A hard nonelastic , fibrous tisuuesthta grows in tip of penis making it go bent up
- tx:
- topical and oral meds with vitamin E
- sx removal
10
Q
- Priapism
A
- prolonged, unwanted erection
- cause: injury, meds, sickle cell crisis, neoplasms of the brain or spinal cord
11
Q
phimosis
A
- inflammation and swelling that prevents retraction of foreskin
- paraphimosis- skin super inflammed and wont go over the penis
12
Q
infertility
A
- infections
- endocrine issues
- mumps
- cryptorchidism
- testicular torsion-left affected the most
- vasectomy
- varicocele
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13
Q
Penile Cancer
A
- rare
- almost always in uncircumcised men
- risk factors:
- chronic irritation
- poor hygiene
- dry wartlike growth on penis that doesnt respond to antibiotics
- can be removed s.x if found early
14
Q
Testicular Cancer
A
- comon in 15-35 age
- risks: cryptochirdism, white race,
medical tx: orchiectomy, radical
15
Q
A
