Male Repro

Just be like situationally aware of the penis. Okay team?

infections, tumors, trauma, endocrine issues, cryptorchidism

infections, tumors, trauma, endocrine issues, cryptorchidism

Infertility can be caused by

Cryptorchidism

Bottom line straight up one or more of the testes do NOT descend into the scrotum

high scrotal

Most common type of cryptorchidism

inguinal canal or high scrotal

Incomplete Cryptorchidism consist of either

yes

Are cryptorchid testes at a higher risk of malignant transformation?

nah

Does surgical corrections in Cryptorchidism affect the cancer risk?

cystitis, prostatitis

Infections typically caused by E.coli

Prostatitis

A 55 y/o patient presents to the ER with urination, urgency, and a fever. He notes that this has been happening on and off even with treatment. Diagnosis?

gonorrhea and chlamydia

Purulent discharge in the penis

STI

If a UA pops positive for bacteria in a young man, what are we thinking?

epididymitis, urethritis

gonorrhea and chlamydia cause

500 mg penicillin PO or 1gm azithromycin IM

Basic treatment for gonorrhea and chlamydia

mumps

Classic orchitis is caused by

Herpes

A 21 y/o male presents to the ER with shallow, painful ulcers on the penis. On a physical exam they look like rain drops on a red petals. Diagnosis?

painless chancre, inguinal lymphadenopathy

Characteristics of Primary Phase Syphilis

macular rash, condyloma latum, hepatitis, other internal organ inflammation (pancreatitis)

Characteristics of Secondary Phase Syphilis

doxycycline

Treatment for primary phase syphilis

long-acting PEN G IM for 3 weeks

treatment for any syphilis past the primary phase

CNS and cardiovascular lesions

Characteristics of Tertiary Phase Syphilis

Mgem (mycoplasma)

Bacterial infection of the epithelial mucus linked to “risky” sexual behaviors

BRCSA2 gene mutation

Male breast cancer tends to be a carcinoma in the

affect men 25-45, germ cell origin, malignant, 5 year survival

Rule of 90s

Seminoma

A patient presents to the clinic with what he describes as a heaviness in the scrotum with occasional nausea and vomiting. Serum is positive for beta hCG. Diagnosis?

embryonal carcinoma, teratocarcinoma, choriocarcinoma, mixed

Types of NSGCT

Seminoma, NSGCT

Germ cell tumors

alpha-fetoprotein, hCG

Serum markers for NSGCT

leydig cell tumor

Characterized by a painless mass, gynecomastia, ED, infertility and most likely to cause pre-mature puberty

Sertoli cell tumor

Characterized by painless mass, breast tenderness and treated with orchiectomy, lymphectomy, radiation, chemo not overly effective

lymphoma, carcinoma of prostate, kidney, large intestine

Secondary tumors of the testes tend to originate in

Carcinoma of the penis

What is a squamous cell carcinoma that is rare in the US and linked to HPV?

BPH (benign prostatic hyperplasia)

Characterized by growth of the prostate which can lead to nocturia, urinary urgency/frequency, recurrent UTIs due to incomplete voiding, hematuria, urinary incontinence

the hyperplasia is periurethral

Why can BPH lead to bladder obstructions?

carcinoma of the prostate

Most common cancer of internal organs in males, especially older males

African americans

What racial group is prostate cancer the most common

PSA scores may be clinically irrelevant but this is only proved with biopsy

Why is prostate cancer screening controversial?

periphery (no bladder obstruction)

Prostate tumors tend to be located in the

local lymph nodes and vertebrae, bones, and internal organs

Common metastasizes of prostate cancer