Normal sperm count
100 million/mL
sterility occurs when sperm count is less than 20 million/mL
Where is testosterone made?
In the testes
prostate specific antigen (PSA)
Levels above 10 can be a sign of prostate cancer
Causes of ED
Vascular problems
Depression + anxiety
Antihypertensives
DM
Hypertension
CAD
Nitrate drugs should NOT be taken with ED drug therapy (true or false)
true, significant b/p drop can occur
Priapism
Persistent abnormal erection longer than 4 hours
emergency
can be side effect of ED medications
Retrograde ejaculation
Semen travels towards the bladder rather than exiting the penis
Hydrocele
Larger than normal fluid in scrotal sac
may be caused by trauma, infection
Enlargement of the scrotum, usually painless
only sometimes treated
Varicocele
Clumping causing swelling and enlargement of spermatic veins "bag of worms"
can cause infertility
Cremaster reflex
-Muscle that attaches to testicle, allowing each to be drawn in or pushed away from the body
Test by stroking inner thigh causing retraction of testicle
absent during testicular torsion
Digital rectal exam
yearly for men over 40
assessing prostate for lumps, hardness, swelling
BPH
Enlargement of the prostate causing obstruction of urine flow
dribbling after urinating, hard to start/stop urinating
retention of urine is defined as
more than 60 mL left after voiding
Prostatitis
Inflammation of prostate gland
usually caused by bacteria
High PSA levels (sometimes mistaken for ca)
testicular cancer
most common in ages 15-40
high risk for men with partially or fully undescended testicle
monthly self exams
Pt teaching after prostectamy
drink 12-14 glasses of water per day
do not lift more than 8 lbs