Male Reproductive System

About this set

Created by:

clcupples  on March 15, 2012

Subjects:

Pathophysiology 2

Description:

PCOM SD Winter 2012 Pathophysiology 2 with Dr. John Schaeffer; congenital & acquired penile disorders, prostate disorders, STDs

Classes:

Medical assisting program Everest melrose park 10am-2pm

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Male Reproductive System

hypospadias
Opening of the glans penis is on the ventral side at birth.
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Terms

Definitions

hypospadias Opening of the glans penis is on the ventral side at birth.
epispadias Opening of the glans penis is on the doral side at birth.
surgery at birth How is hypospadias & epispadias treated?
phimosis Congenitally tight/restrictive foreskin that doesn't allow for retraction for cleaning.
circumsion How is phimosis treated?
priapism With this condition, an erection lasts more than 4 hours causing blood stasis that could lead to fibrosis & scar tissue. Over time, blood flow is impeded & cx impotence.
stop drug use or aspirate out blood How is priapism treated?
balanitis Infection of a circumsized glans penis.
balanoposthitis Infection of an uncircumcised glans penis usually related to phimosis
- staph & strep common
- Tx: topical thorough cleaning; antibiotics
staph, strep Name 2 types of infections that commonly cause balanitis or balanoposthitis.
thorough topical cleaning & antibiotics What is the treatment for balanitis or balanoposthitis.
tunica vaginalis Peritoneal covering of the testes (visceral & parietal layer with little bit of serous fluid in between)
epididymis Structure where sperm cells mature
cryptorchidism Condition when the one or both testes fail to descend at or after birth
hydroceleCondition when more fluid than normal is in between the visceral and parietal layer. If congenital, the peritoneal connection didn't close off when the testes were descending so the fluid in the abdominal cavity seeps in.
s/sx: pain, discomfort, heaviness; referred px to low back
Upon testing, the fluid is transluminate (can see thru when a light is shined through the testes)
hematocele Condition when blood is in the fluid between the visceral and parietal layers.
varicocele When palpated, the scrotum feels like a "bag of worms" - veins are varicosed.
testicular torsion Spermatic cord is twisted cutting off blood supply to testes; usually unilateral; could cx necrosis; ultrasound to verify
yes Is testicular torsion a 911 call?
testicular torsion If a man has severe testicular pain & is vomiting, what is the possible cause?
orchitis & epididymitis Inflammation/infection of testes OR epididymis
S/Sx: red, tenderness, warmth
UTI, STD, mumps What are 3 possible causes of orchitis & epididymitis
seminiferous tubules If not treated, orchitis & epididymitis could lead to infertility due to destruction of what structure?
antibiotics How is orchitis/epididymitis treated?
testicular cancer If a man has a hard, painless lump in his testes, what could be the cause?
seminoma This type of tumor contains one cell tissue type, usually epithelial.
teratoma This type of tumor contains multiple cell tissue types including hair, epithelial & organ tissue. It is usually benign but in the testes can be malignant
chemotherapy, radiation therapy, orchiectomy (remove testes) How is testicular cancer treated?
prostatitis Name the condition:
Sx: mild - urgency, frequency, dysuria ; severe - fever, chills
Dx: blood panel, urinalysis; WBC & bacteria will show
DRE (Digital Rectal Examine): tender on palpation, swollen
benign prostatic hyperplasia (BPH) Name the condition:
Common in men over 50
Sx: mild to severe; increased urination, frequency, difficulty; decreased urine stream; weak stream of urine; difficulty initiating urination; micturition reflex (urinary frequency)
Dx: DRE = enlarged, hard rubber feel (no resiliency)
benign prostatic hyperplasia (BPH) This condition occurs due to increased cell division in core of prostate gland around the urethra leading to an enlarged prostate that squeezes prostatic urethra
prostatic carcinoma Name the condition:
Starts in the periphery of the gland & can be asymptomatic so DRE is necessary to determine if nodules are present.
- When found on x-ray, it will have metastasized into spine nodular - metastasized into bone; cx back pain
- Dx: DRE, PSA levels high; confirm with biopsy
PSA (Prostatic Specific Antigen) Elevated levels of this antigen can show in prostatitis, benign prostatic hyperphasia & prostatic carcinoma & is therefore not conclusive in differentiating the condition.

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