Unit 5 - Male Repro Disorders

Question 1

Erectile Dysfunction/Impotence Causes

Answer 1

Physical or psychological

Medication-related

Question 2

Erectile Dysfunction Management

Answer 2

Pharmacological therapies: (PO) Sildenafil, vardenafil, tadalafil; (Inj) alprostadil; (suppos) urethral alprostadil
Penile implant: semirod or inflatable (cannot have urinary catheter)
Negative pressure/vacuum device

NO NITRO FOR MEN ON ED DRUGS (

Question 3

Acute bacterial prostatitis: Cause & S/S (SPUND)

Answer 3

Caused by E. coli

Sudden fever and chills
Perineal, rectal or low back pain
Urgency
Nocturia
Dysuria

Question 4

Acute bacterial prostatitis Dx

Answer 4

CBC
Blood culture
Urine culture
Avoid repetitive rectal exams
Prostate specific antigen (>4)

Question 5

Acute bacterial prostatitis Management

Answer 5

IV/PO abx
NSAIDs
Antispasmodics (hyoscamine)

Question 6

Benign prostatic hyperplasia (BPH) S/S (HIFUN)

Answer 6

Hesitancy
Interruption of urine (dribbling)
Frequency
Urgency
Nocturia

Question 7

BPH Dx

Answer 7

Prostate specific antigen (PSA) >4

Question 8

BPH Management

Answer 8

Catheterization/coude catheter
Medications: tamsulosin, finasteride
Surgery - TURP
Caution with 1st generation antihistamines (diphenhydramine) - can cause urinary retention

Question 9

TURP Complications

Answer 9

Hemorrhage (gradually decrease to pink after 24h)
Urinary incontinence - Kegel exercises 
Infections - increase fluids
Prevent DVT
SCDs
No sitting for long periods

Question 10

TUR Syndrome Management

Answer 10

Body takes in too much fluid systemically

Diuretics
Monitor I/O
VS/LOC
Listen to lung and heart sounds (pulmonary edema, HF)

Question 11

TUR Syndrome S/S

Answer 11

Hyponatremia
Hypervolemia
(At risk for mental status change)

Lethargy
Confusion
HTN
Tachycardia
N/V
Visual disturbances 
HA
Muscle spasms
Seizures

Question 12

TURP Management

Answer 12

Continuous bladder irritation d/c after 24h if no clots (need to ambulate)
Observe drainage system (chart q1h) - >bladder retention causes pain/bleeding
Maintain catheter latency
Antispasmodic for bladder spasms r/t irrigation
Pain control and < activity in first 24h
Avoid straining with BM: >fiber, laxatives