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20 terms

Ch 48 Outline Nursing Care of Men with Reproductive System and Breast Disorders

STUDY
PLAY
Disorders of Sexual Function
Erectile Dysfunction (ED), Age-related Changes
Impotence
total inability to achieve erection
Diagnostic Tests
Blood chemistry, Hormone levels, PSA
Nocturnal penile tumescence and rigidity (NPTR)
to differentiate between psychogenic and organic causes
Cavernosometry and cavernosography
used to evaluate arterial inflow and venous outflow of blood in the penis
Mechanical devices
vacuum constriction device
Retrograde ejaculation
seminal fluid discharged from the bladder
Premature ejaculation
usually pschogenic in origin; may be from diabetes
Delayed ejaculation
aging changes, decreased libido
Hormone Replacement Therapy
Testosterone injections, Topical patches
Injectable Medications
relaxes arteries and smooth muscles causing swelling
Injectable Medications brands
Papaverine, Prostaglandin E injection, Alprostadil
Erectile Dysfunction
Revascularization Procedures, Implantation of Prosthetic Devices
Phimosis
constriction of the foreskin in uncircumcised men so that it cannot be retracted over the glans penis
Paraphimosis
foreskin tight and constricted, and not able to cover the glans penis
Priapism
involuntary, sustained, painful erection not associated with sexual arousal; increases risk of subsequent ED
Primary
from tumors, infection, or trauma
Secondary
blood or neurologic disorders
Conservative treatment
Iced saline enemas, Intravenous ketamin- to induce anesthesia, Spinal anesthesia, Aspiration of blood from corpus with pressure dressings
Interdisciplinary Care Conservative treatments
Iced saline enemas, Intravenous ketamine, Spinal anesthesia, Aspiration of blood from corpus