| Term | Definition |
| what consists of male reproductive tract? | testes, ducts(epididymides, vas deferens, urethra, ejaculatory duct), glands (seminal vesicles, prostate gland), & external genitalia (penis, scrotum...aka the junk) |
| what are the paired sex organs? | testes...located in scrotum |
| what are the coiled ducts in the testes? | seminiferous tubules |
| what are the ducts responsible for? | transportation of the sperm |
| what is the route sperm travels? | from the epididymides to the vas deferens, to the ejaculatory duct, and out the urethra |
| epididymides where are they and what do they do? | they lie on the posterolateral side of each testes, and they feed nutrients to the sperm to help them mature, (once sperm forms in the testes, it moves into the comma shaped dpididymis....a long coiled ducts that lies on the posterolateral surface of each testes) |
| vas deferens is AKA as? | ductus deferens |
| what does the vas deferens do? | transports sperm from the epididymis to the ejaculatory duct |
| what does the union of the vas deferens & the seminal vesicles form? | the ejaculatory duct and this is just before the entrance to the prostate |
| urethra | innermost tube of penis, 7-8 |
| what are the 3 glands? | seminal vesicles, prostate gland, bulbourethral glands |
| what do the 3 glands do? | produce and secrete fluid that make up most of the fluid in the ejaculate (semen)...these secretions also serve as medium or transport. and provide alkaline environment that promotes sperm motility and survival |
| bulbourethral glands are AKA? | Cowper's glands |
| how and why does the scrotum react to temperature changes? | firstly, the testes are located outside the body because they require a slightly lower temp than the core temp., the temp of the scrotum is controlled by a layer of muscle under the scrotal skin that contracts or relaxes in response to the outside temp....when the temp is cold the scrotal sac and its contents move close to the body ....and vis versa when the temp is warm.....they hang low |
| what are the 2 tissue layers of the penis? | corpora cavernosa & the corpus spongiosum |
| erection is controlled by what system? | ANS autonomic nervous system |
| who is at most risk for testicular cancer? | young men ages 20 to 34 |
| cryptorchidism | undescended testicles at birth |
| priapism | erection lasting longer than 4 hours.........persistent erection that does not occur secondary to sexual excitement |
| what are the 2 most common problems assoc w/ men and urination? | infection and obstruction |
| tinea cruris | jock itch |
| phimosis | foreskin that is too short and can not be retracted over the glans |
| paraphimosis | the inability to return foreskin over the glans |
| what are the small bumps on the scrotum known as? | sebaceous cysts or sebaceous glands....(this is normal) |
| if inspecting for a hernia...the person must do what? | stand |
| puberty ranges for male | 9.5 to 13.5 years old |
| urethritis | inflammation w/in the urethra, commonly a sign of STD, edges of urethra are edematous & red |
| Balanitis | inflammation of the glans penis, related to poor hygiene, eh glan |
| penile cancer | rare skin cancer, mostly in older uncircumcised men who have had poor hygiene habits and repeated infections |
| testicular torsion | twisting of the testicle and spermatic cord.....cuts off blood supply, considered surgical emergency |
| hydrocele | accumulation of fluid in the scrotum |
| transillumination | if the light glows read indicates presence of fluid: FAILURE TO GLOW SUGGESTS A MASS |
| spermatocele | is a cystic mass that occurs w/in the epididymis or spermatic cord, significant testicular edema in the involved testicle |
| varicocele | usually on the left side, it is caused by abnormal dilation and tortuosity of the veins along the spermatic cord, may cause male infertility secondarily to increased testicular pressure |
| epididymites | inflammation of the epididymis and vas deferens, usually assoc w/ STD, gay men who are insertive partners in anal intercourse! ce |
| testicular cancer | most common mailg. cancer in men 20 - 34 yrs, greater risk are men who have a history of an undescended testicle |
| herpes 1 and 2 | viral infection caused by herpes simplex virus, HSV1 is commonly assoc w/ oral ulcers, and HSV2 is usually assoc w/ genital lesions |
| condyloma acuminatum | genital warts (yuck) |
| chlamydia trachmatis | most common STD in the USA , in men....in the urethra or anus, if untreated can cause epididymitis |
| gonorrhea | most frequently reported STD in USA,...if untreated can lead to epididymitis, |
| syphilis | STD progresses thru 4 stages, primary, secondary, latent, and tertiary syphilis, most frequent sing is a lesion on glans of penis 2 weeks after infection, it can also occur in the mouth or anus |
| pediculosis pubis | crabs, lice |
| if the nurse is unable to replace the foreskin over the glans what could happen? (this Pt is uncircumcised) | tissue necrosis of the penis |
| what is the best position to examine a 3 yr old boy? | sitting position w/ knees spread and ankles crossed |
| 22 year old white male...to the ER w/ mass in his testicle, in addition to age & race what is a risk factor for testicular cancer? | he had an undescended testicle at birth |