Male reproductive system Flashcards Preview

Term 3 OB/PEDS/MED SURG 2 > Male reproductive system > Flashcards

Flashcards in Male reproductive system Deck (15)
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1

After 50

  • longer to get erected
  • drops in testosterone
  • sperm count drops
  • can still get women pregnant 70 and 80's

2

Prostatitis

  • 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.
  •  

3

Epididymitis

  • 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

Orchitis

  • inflammation of both testes
  • same tx as the previous one

5

BPH benign prostatic hyperplasia

  • 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

Nursing intervention for BPH

  • 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

Prostatic Cancer

  • 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

Erectile dysfunction

  • 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

Peyronie disease

  • 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

  • Priapism

  • prolonged, unwanted erection
  • cause: injury, meds, sickle cell crisis, neoplasms of the brain or spinal cord

11

phimosis

  • inflammation and swelling that prevents retraction of foreskin
  • paraphimosis- skin super inflammed and wont go over the penis

12

infertility

  • infections
  • endocrine issues
  • mumps
  • cryptorchidism
  • testicular torsion-left affected the most 
  • vasectomy
  • varicocele
  •  

13

Penile Cancer

  • 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

Testicular Cancer

  • comon in 15-35 age
  • risks: cryptochirdism, white race, 

medical tx: orchiectomy, radical

15