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MS Genitourinary
independent study
| Term | Definition |
|---|---|
| benign prostate hyperplasia | enlarged prostate |
| benign prostate hyperplasia S & S | difficulty in initiating urination or in completely emptying the bladder in 1st stage/ later stages-nocturia, dribbling, urinary freqency, wk stream & incontinence |
| rx of benign prostate hyperplasia | alpha blocker meds, thermotherapy (TUMT) or prostivia RF (radio frequency), TURP, HoLEP, TUIP, TULIP |
| TUMT | transurethral microwave therapy |
| TURP | transurethral prostate resection |
| HoLEP | holmium laser enucleation of prostate |
| TUIP | transurethral incision of the prostate |
| TULIP | transurethral ultrasound-guided laser incision of prostate |
| prostatitis | inflammation of prostate |
| S & S of prostatitis | low back pn, pn in pelvis, perineal fullness or pn, fever, dysuria & urinary frequency & urgency |
| Rx of prostatitis | antibiotic and/or antimicrobial therapy + rest & increase fluid. alpha blockers, analgesics, antipyretics, stool softeners, sitz bath, regular ejaculation |
| prostate CA group at risk | males over 50-African Americans, exposure to environmental or chemical elements, co-existing STDs, endogenous hormonal influence |
| prostate CA prevention & Dx | no known method of prevention. dx-digital rectal exam, biopsy, CT or US, PSA blood test, AMACR (alpha-methylacyl CoA racemase) |
| prostate CA prognosis | earlier its detected, better prognosis. survival rates for all stages combined have steadily increased from 50% to 76% |
| erectile dysfunction, impotence | inability to achieve, sustain erection sufficiently for sexual performance |
| causes of erectile dysfunction, impotence | blood flow (meds, atherosclerosis), neurologic (DM, SCI, radiation therapy), psychologic |
| erectile dysfunction, impotence rx | medication, testosterone, penile prosthetic implant |
| UTI (cystitis) | inflammation of bladder, bacterial growth, more common in women |
| end-stage renal disease (ESRD) | usually the result of chronic renal failure, is the gradual, progressive deterioration of kidney function to the point that kidneys can't do what is needed for survival |
| end-stage renal disease (ESRD) S & S | drowsiness & lethargy, confused, anemic, dehydrated, dyspneic, HTN, osteoporosis |
| rx end-stage renal disease (ESRD) | dialysis or kidney transplant. dialysis 9-12 hrs per wk. kidney transplant rx of choice, donor can be relative or cadaver. need immunosuppressive drugs |
| stress incontinence | involuntary loss of urine that is sufficient to be a problem and occurs most often when the bladder pressure exceeds sphincter resistance |
| stress incontinence risk factors | older female, has given birth in past, obesity, cigarette smoking, caffeine, ETOH |
| stress incontinence triggered by | sneezing, laughing, coughing, bending, hi impact ex |
| stress incontinence weak mm | pelvic floor, secondary lower abd |
| pelvic floor disorders associated w/ stress incontinence that require sx | uterine prolapse (uterus dropped into vagina), cystocele (bladder dropped into vagina), rectocele (rectum dropped into vagina) |
| labor is characterized by 2 changes in the cervix | effacement & dilation |
| effacement | shortening, thinning of cervix from 5 cm (2in) to thickness of paper |
| dilation | opening of cervix from the diameter of fingertip to 10 cm |
| dilation is complete at | 10 cm |
| what happens in stage 2 | "pushing" & expulsion of fetus |
| what happens in stage 3 | detachment & expulsion of placenta |
| what is uterine involution | uterus continues to contract & decrease in size for 3-6 wks. |
Created by:
jessigirrl4
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