MSI Male Reproductive SLO

what indicates fertility for men?

sperm count (avg 400mil)

hydrocele

scrotal swelling caused by a collection of fluid

hydrocele/ spermatocele treatment

no treatment

varicocele

enlarged veins of the spermatic cord

varicocele treatment

surgically repaired (causes male infertility)

phimosis

narrowing of the opening of the prepuce over the glans penis

paraphimosis

painful constriction of glans by retracted foreskin

paraphimosis and phimosis characteristics

occurs among uncircumcised males (opening of foreskin is constricted)

paraphimosis or phimosis s/s

pain w/ erection & intercourse; difficulty cleaning foreskin; painful swelling of glans; edema; urinary retention

paraphimosis/ phimosis treatment

circumcision, proper hygiene

erectile dysfunction

Inability to achieve or maintain an erection.

what causes erectile dysfunction?

neurologic stimulation; arterial blood flow; trapping of venous blood

how is erectile dysfunction diagnosed?

nocturnal penile tumescence and rigidity test; vascular ultrasound studies

how is erectile dysfunction treated?

CHANGE in drugs that causes; sildenafil; tadalafil; vascular surgery; penile implants

what drugs treat erectile dysfunction?

Sildenafil: 1 hr before intercourse ; and tadalafil

what are some adverse effects of sildenafil and tadalafil

flushing; dyspepsia; visual disturbances; muscle aches; priapism; *chest pain

vasectomy

bilateral surgical removal of a part of the vas deferens which interrupts the pathway that transports sperm

what is a vasectomy for?

permanent birth control for men

what are some nursing interventions & teaching for a vasectomy?

-expect bruising and soreness

-*apply ice packs to the scrotum to reduce swelling (remove after 20 mins and place again after warm)

-wear athletic support for several days

-*resume ADLs in 2-3 days (NO strenuous exercise)

- resume sexual activity when comfortable

-*use contraception until HCP says no more sperm present

benign prostatic hyperplasia (BPG

benign growth of cells within the prostate gland

BPH s/s

gradual onset; difficulty urinating; emptying bladder; nocturia; urgency

how is BPH diagnosed?

digital rectal exam (DRE); prostate specific antigen (PSA)

A prostate specific antigen time above 4 is indicative of?

prostate cancer or BPH

how is BPH treated?

TURP; TULIP; TUIPL; TUNA; finasteride; tamsulosin

what the adverse effects of finasteride and tamsulosin?

erectile dysfunction; chest tenderness; dizziness; postural hypotension; priapism

TULIP (transurethral ultrasound-guided laser-induced prostatectomy) post op intervention?

continuous bladder irrigation

during TURP bladder irrigation should be stopped if

severe pain; febrile; hematuria; urine has a slightly pink or clear color (indicates effective) -1 day

what causes prostate cancer?

increased testosterone, high-fat diet, family hx

how is prostate cancer diagnosed?

PSA (above 4); DRE; transrectal ultrasound; biopsy; elevated serum acid phosphatase

what are the s/s of prostate cancer

frequent urination; nocturia; dysuria; hematuria; hemospermia; erectile dysfunction; back pain; pain down leg (metastasis)

what is the treatment for prostate cancer?

suprapubic prostatectomy; radical prostatectomy; bilaterlal orchidectomy; radiation therapy; hormone therapy

what is a orchiectomy?

removal of the testes (testicles)

what interventions/ teaching should the nurse do after a orchiectomy?

-wound care

-ice packs

-scrotal support (athletic supporter)

-avoid strenuous activity

-elevate scrotum on pillows while sitting/lying