Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
109 Ch. 49
Male Reproductive Problems
| Question | Answer |
|---|---|
| where does the prostate gland lie | just below neck of bladder and has 4 zones/4 lobes |
| what glands lie below the prostate | Cowper's glands, provide lubrication during ejaculation |
| what happens with age in men's reproductive | prostate gland enlarges, secretion decr, scrotum lower, testes decr in wt., atrophy/softer, decr in testosterone/progesterone |
| what is male hypoganadism | decr fx of testes at 50 age, decr testosterone |
| what is prostatism | s/s r/t bladder fx and urination |
| If male pees on/off can be indicative of what | enlarged prostate dysuria- painful pee |
| what is the PLISSIT model for assessment | P-permission to talk sex LI-limited info SS-specific suggestions for interventions IT-intensive therapy |
| what is BETTER model | B-bring up topic E-explain T- telling T-timing E- educate R- record |
| what are two types of physical assessment | DRE- screen prostate cancer, yrly 50+ Testicular Exam - |
| diagnostic tests like the prostate specific antigen (PSA) | protein produced by prostate and can test tested...high levels may indicate cancer Other tests: ultrasound, prostate fluid test, test of sex fx |
| what is erectile dysfx | psycho and organic causes Tx: PDE-5 inhibitors: viagra, cialis, levitra: incr blood flow allows muscle relaxing **not if on nitrates** |
| what is priapism | persistent abnormal erection, no longer than 4hrs 3types: ischemic(low flow)- emergency, nonischemic, stuttering |
| what is prostatitis | inflam prostate assoc wtih lower UTI or sex discomfort, ecoli, 4 types |
| what are other tx for ED | drugs, injection, suppository, implants, neg. pressure vacuum Tx: fluids, but keep med level |
| what is BPH | benign prostatic hyperplasia: most common, UTI s/s, older 50%/50yr, 80%/80yr BPH: elevated estrogen and not respong to DHT(metabolite of testosterone) cause dilation of ureters/kidneys |
| what is tx of BPH | drugs(Flomax), catherization, prostate surgery(TURP): insert in urethra and gland is removed in sm. chips |
| What is most common Ca for men, what is 2nd | 1st: skin Ca 2nd: prostate Ca, detect early, 1 in 5 Risk factors: age 65+, hx, Af.Am, fat diet, hx of BPH NOT risk factor |
| what are two diagnostic tests for prostate Ca | DRE: digital rectal exam find hard, nodular PSA: prostate-specific antigen: blood test NOT DEFINITIVE |
| what is Whitmore-Jewett Staging Classification of Prostate Ca | Stage A: clinically unrecog B: intracapsular: contained C: extracap, uncontained D: metastatic disease |
| what is late s/s for prostate Ca | lumbosacral pain - spread into bone |
| what is standard first line tx for prostate Ca | radical prostatectomy: remove prostate, seminal vesicles, tips of vas deferens, nerves/fat/blood vessels @ area |
| two major radiation therapies | external/internal |
| Hormonal therapy for prostate Ca | androgen deprivation therapy(ADT): decr testosterone done by orchiectomy(remove testes) |
| Other types of surgery for prostatic removal | Suprapubic: abd approach and shell it Perineal: incision in perineum Retropubic: low abd incision Transurethral(TUIP): urethra and incise prostate |
| what risk do all prostectomies pose: | impotence b/c of damage to pudendal nerves plus urinary incontinence up to 2yrs |
| which disorder can make complications more severe after prostectomy | BPH bc hyperplastic prostate gland is very vascular and makes hemmorrhage more dangerous |
| what is greatest risk after prostectomy | bleeding, hemorrhagic shock |
| what are 4 problems with scrotum/testes | Epididymitis:infec in epididymis, usually ecoli Orchitis: inflam testes Hydrocele: nontender, fluid-filled mass in tunica vaginalis,scrotal swelling, transmits light Varicocele: dilation of veins that drain testes |
| what is testicular tortion | emergency! Rotation of testis and impedes blood supply to testicle/scrotum |
| what is most common Ca in men 15-35 | testicular Ca, curable, scrotal swelling, painless lump |
| what are two types of testicular Ca tumors | germinal(semisoma)- slow growing, grow from cells produce sperm nongerminal: more metastasis |
| what is most common secondary cause of testicular Ca | lymphoma |
| Risk factors for testicular Ca | cryptorchidism- undescended testicles, hx Tx: remove affected testis |
| what is involved in vasectomy | cut vas deferens, 10-20 ejaculations give sterility or 6wks |
| what is phimosis? paraphimosis | phimosis: foreskin(prepuce) can't be retracted over glans paraphimosis: foreskin once retracted can't be returned |
Created by:
palmerag
Popular Nursing sets