Reproductive 1 Flashcards
Caused by herpes simplex-2
Genital herpes
Asymptomatic viral shedding common
Genital Herpes
small, painful, fluid-filled ulcers on dick
Genital herpes
Small itching and burning lesions, often grouped
Genital herpes
No permanent cure, diagnosis is symptomatic
Genital Herpes
Use of antiviral drugs to provide relief and decrease asymptomatic shedding
Genital Herpes
AKA verrucae, common benign viral infections of the genitals
Genital warts
Caused by HPV and usually affect men on end of shaft and below foreskin
Genital Warts
Appear 1-6 months after infection and give cauliflower appearance
Genital warts
Usually diagnosed based on appearance and treated w/ laser, cryotherapy or surgery
Genital warts
Inflammation of the testes
Orchitis
May be isolated but more often combined with epididymitis
Orchitis
Testis become swollen and painful. May be warm, have fever
Orchitis
Often follows chlamydia infection, but could be bladder infection, urinary catheterization
Orchitis
Inflammation of the epididymis
Epididymitis
Usually a complication of urethritis or prostatitis
EPIDIDYMITIS
In young men, it is most often a complication of
sexually acquired infections
EPIDIDYMITIS
In older patients it is typically a complication of urinary obstruction, catheterization, or prostate surgery
EPIDIDYMITIS
Left untreated can cause testicular infarct
Epididymitis
Inflammation of the urethra
Urethritis
If purulent exudate present, typical infection with gonorrhea or chlamydia
Urethritis
Inflammation of the prostate
Typically preceded by UTI
PROSTATITIS
Category 1 prostatitis
Acute bacterial prostatitis
Category II prostatitis
Chronic bacterial prostatitis
Category III prostatitis
Chronic prostatitis/chronic pelvic pain syndrome (CCPS)
Category IV prostatitis
Asymptomatic inflammatory prostatitis
M/c category prostatitis
Category 3 Chronic prostatitis/chronic pelvic pain syndrome (CCPS)
Asymptomatic (no pain or discomfort), but findings of WBC in semen are present
Asymptomatic inflammatory prostatitis
(Category IV)
Half of all men have at least one episode in their
lifetime, most common over 40
PROSTATITIS
Abnormal twisting of testis and spermatic cord
testiculcar torsion
Often associated with congenital abnormalities such as Bell-clapper deformity
TESTICULAR TORSION
Usually results from an abnormal development of the spermatic cord or the membrane covering the testis
TESTICULAR TORSION
- Most often occurs in males between puberty and 25 y.o.
- May happen spontaneously or after strenuous activity
TESTICULAR TORSION
⬧ Cells in testicles become malignant
⬧ 95% of tumours of germ cell origin
TESTICULAR CANCER
- Rare – occur during prime of life and potentially affect sexual and reproductive capabilities
- Mainly affects Western populations
TESTICULAR CANCER
Most common cancer in 15-35 y.o. age group
TESTICULAR CANCER
Congenital factors:
⬧ Cryptorchidism
⬧ Klinefelter’s syndrome
TESTICULAR CANCER
Genetic factors
⬧ Having severe acne is considered protective
TESTICULAR CANCER
⬧Poorly understood
⬧Hormonal imbalance
⬧High estrogen exposure in utero may have an effect
TESTICULAR CANCER
Age-related non-malignant enlargement of the
prostate gland
Benign prostatic hypertrophy or hyperplasia
75% of men over age 50
⬧ Rare under 40
BPH
- Higher in black individuals than white individuals
- Drinking moderate reduces the risk, but decreasing alcohol intake decreases symptoms
BPH
- Idiopathic
- Hormone imbalance, androgens and estrogens
- Multiple prostatic nodules develop
BPH
- Proliferation of epithelial cells, smooth muscle cells, fibroblasts
- Lumen of urethra becomes progressively narrowed
BPH
- Related to secondary involvement of the urethra and restriction of urine flow
- Decreased calibre and force of stream
- Difficulty initiating or continuing urination
BPH
Prevention with Antioxidants – saw palmetto, lycopene, tomatoes
evidence for all of these is tentative at best
or even shows no help at all
BPH
- 4th m/c cause of cancer but does not cause death.
- Most people die with this cancer but not from it
Prostate cancer
Etiology
* Unknown
* Endocrine system dysfunction
* Higher levels of androgens especially testosterone
* Viral exposure
Prostate cancer