WEEK 4 - Male Reproductive/Genitourinary Flashcards

1
Q

Describe the location and structure of the penis

A

Attached to the pubic arch via ligaments
Shaft is made up of vascular erectile tissues bound by fibrous tissue - copora cavernosa and corpus spongiosum (urethra through the centre)
Glans is covered by a fold of skin (foreskin/prepuce)

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2
Q

Describe the location and structure of the scrotum

A

Suspended below the pubic bone
Covering for the vas deferens, testes and epididymis
Contains sweat and sebaceous glands
Consists of rugae and cremaster muscle

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3
Q

What is the structure and function of the testes?

A

To produce spermatozoa and testosterone

Each teste is covered in a double membrane - tunica vaginalis, lie in the scrotum

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4
Q

What is the structure and function of the spermatic cord?

A

Suspend the testes in the scrotum, contains blood vessels, nerves, lymphatics and vas deferens

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5
Q

What is the structure and function of the epididymis?

A

Coiled, tubular structure that curves over the upper and posterior surface of the testes.
For sperm maturation

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6
Q

Who does testicular cancer usually affect?

A

Young men between ages 25-50 (seminoma)

or between 20-30 (non-seminoma)

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7
Q

Signs and symptoms of testicular cancer?

A
  • Painless lump on the scrotum
  • Scrotal swelling
  • Feeling of heaviness (dull/heavy abdo ache)
  • Firm scrotal mass
  • Acute pain

In advanced disease:

  • Lower back pain/chest pain
  • Cough and dyspnoea
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8
Q

Risk factors of testicular cancer?

A
  • Personal Hx
  • Undescended testes
  • Family Hx
  • Infertility
  • HIV/AIDS
  • Congenital defects (hypospadias)
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9
Q

Diagnostics for testicular cancer?

A
  • Hx and physical exam - cancerous mass is firm and will not transluminate
  • US, CT, PET scans
  • Blood tests: alpha foetal protein, lactate dehydrogenase
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10
Q

Management of testicular cancer?

A

Orchidectomy/retroperitoneal lymph node dissection

Radiotherapy, chemo

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