Module 10 Male Genital Tract Flashcards

1
Q

Penis Function

A
  • Increased blood flow to erectile tissue
  • Decreased blood outflow
  • Leads to erection
  • Sperm passes through urethra
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2
Q

Penis Anatomy

A
  • Root attaches to lower abdomen/pelvis
  • Shaft, cylindrical portion
  • Glands, cone shaped end
  • Foreskin may cover glands
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3
Q

Testis Function

A
  • Sperm production in seminiferous tubules
  • Sperm storage in epididymis
  • Sperm transported to urethra
  • Testosterone production
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4
Q

Testis Anatomy

A
  • Descend from abdominal cavity
  • Pair organ located within scrotum
  • Associated with epididymis & vas deferens
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5
Q

Prostate Function

A
  • Secretes fluids to prolong sperm lifespan
  • Control urination & ejaculation
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6
Q

Prostate Anatomy

A
  • Inferior to bladder
  • Join with urethra
  • Size of large walnut (20g)
  • Vas deferens enter becoming ejaculatory ducts
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7
Q

Prostate Cancer

A
  • Most common male cancer
  • 50+
  • Hormone dependent
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8
Q

Prostate Cancer Risk Factor

A
  • Advanced age
  • Androgen exposure
  • Family history (2x risk father/brother)
  • African decent (2x more likely than Caucasian)
  • Western diet
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9
Q

Prostate Cancer Presentation

A
  • Majority asymptomatic
  • Screening at age 50
  • Occur in peripheral zone
  • Elevated prostate specific antigen (PSA)
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10
Q

Prostate Cancer Diagnosis

A
  • Prostate biopsy
  • Transrectal ultrasound
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11
Q

Prostate Cancer Treatment

A
  • Surgery (prostatectomy)
  • Radiation
  • Chemo (metastatic)
  • Hormone therapy (androgen deprivation)
  • Active surveillance
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12
Q

Prostate Cancer Prognosis

A
  • Gleason grade
  • Stage
  • Pre-treatment PSA
  • Often good
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13
Q

Testicular Cancer

A
  • Less common malignancy
  • Most common in 15-34
  • Majority germ cell tumours
  • Peak at 30 years
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14
Q

Testicular Cancer Risk Factors

A
  • Undescended testicle (cryptorchidism)
  • Caucasians 5x higher risk
  • Family history 10x risk
  • Previous testicle cancer
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15
Q

Testicular Cancer Presentation

A
  • Painless testicle enlargement
  • Metastasis (lungs, lymph nodes)
  • Subtype varies from primary tumour
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16
Q

Testicular Cancer Diagnosis

A
  • Imaging (ultrasound)
  • Testicular lesions (no biopsy)
  • Bloodwork for biomarkers
  • HCG, AFP, LDH
17
Q

Testicular Cancer GCT Categories

A
  • Seminoma
  • Nonseminomatous (worse)
  • 60% of tumours are mixed
18
Q

Testicular Cancer Treatment

A
  • Surgery (orchiectomy)
  • Chemo
  • Radiation
19
Q

Inflammatory Disease

A
  • Occurs in epididymis & testes
  • Testicle swelling, pain
  • Fever
  • Nausea/vomit
20
Q

Non-Specific Epididymitis & Orchitis

A
  • Often related to UTI
  • Spread through vas deferens/lymphatics
  • Causes varies with age
21
Q

Children Non-Specific Epididymitis & Orchitis

A
  • Congenital genitourinary abnormality
  • Infection with gram neg rods (E coli)
22
Q

Sexually Active Non-Specific Epididymitis & Orchitis

A
  • Younger than 35
  • Sexually transmitted pathogens (STI)
23
Q

35+ Non-Specific Epididymitis & Orchitis

A
  • Urinary tract pathogens (E coli, pseudomonas)
24
Q

Granulomatous (Autoimmune) Orchitis

A
  • Idiopathic
  • Suspected autoimmune cause
  • Sudden onset
  • Testicular tender mass
  • Fever
  • Mimic of testicular cancer
25
Q

Gonorrhea Components

A
  • Posterior urethra to prostate
  • Seminal vesicles
  • Epididymis
26
Q

Mumps

A
  • Viral illness in school age child
  • Rare testicular involvement
  • Orchitis in 20-30% of post puberty cases
27
Q

Tuberculosis

A
  • Begins in epididymis
28
Q

Syphilis

A
  • Testis first involved
29
Q

Benign Prostatic Hyperplasia

A
  • Most common benign prostate disease
  • Older men 40+
  • Enlargement of transitional zone
  • Pinches urethra
  • Impedes urine flow
30
Q

Benign Prostatic Hyperplasia Features

A
  • Urinary obstruction
  • Bladder hypertrophy
  • Residual urine
31
Q

Benign Prostatic Hyperplasia Symptoms

A
  • Urinary frequency
  • Nocturia
  • Difficulty stop/start urine stream
  • Overflow dribbling
  • Dysuria (pain)
  • Acute urinary retention
32
Q

Benign Prostatic Hyperplasia Treatment

A
  • Decrease fluid intake
  • Moderate caffeine & alcohol
  • Timed voiding
  • Medication
  • Surgery (transurethral resection of prostate)