WEEK 6 : CH 25-27. MALE N' FEMALE GENITOURINARY SYSTEM & RECTAL .OUTLINE NOTES

Male Genital Health Overview

  • Role: Gather subjective info & assist provider with exams.

  • Chapters: Male (Ch. 25), Prostate Exam (Ch. 26).

  • Urethra located in prostate; understand male anatomy.

Developmental Considerations for Males

  • Testes develop in abdomen, migrate to scrotal sac before birth.

  • Puberty begins around ages 9-10; testes enlargement is first sign.

  • Fertility declines around age 40; hormonal changes affect libido.

  • 80% of males >60 experience benign prostate hyperplasia (BPH).

Common Symptoms and History in Males

  • Urinary issues: frequency, urgency, dysuria.

  • Look for nocturia, hesitancy, straining; classic symptoms of UTI.

  • Inquire about past GU issues, lesions, or drainage from penis.

  • Testicular self-care: perform monthly exams for changes in size.

Conditions to Monitor

  • Testicular torsion: immediate surgical intervention needed to prevent loss.

  • Prostate cancer: PSA test; educate on sexual activity restrictions prior to lab test.

  • Higher risk for African American men and those with a family history.

Female Genital Health Overview

  • Familiarize with internal and external genitalia (Ch. 27).

  • Infants may have engorged genitalia due to maternal estrogen; resolves quickly.

Developmental Considerations for Females

  • Menstrual history: essential for assessing health and pregnancy.

  • Monitor for menopause changes: vaginal atrophy, decreased elasticity.

Symptoms and History in Females

  • Address menstrual frequency, duration, and characteristics.

  • Assess for pelvic pain, urinary symptoms (same as males).

  • Consider stress incontinence, bleeding post-menopause.

Common Conditions and Interventions for Females

  • STIs: offer screening for sexually active teens.

  • Abnormal bleeding post-menopause requires investigation (risk for endometrial cancer).

  • Screen for pelvic organ prolapse; surgical correction options available.

Preventative Measures

  • HPV vaccine: recommended for males and females at ages 11-12.

  • Screen for colorectal cancer and provide education on healthy bowel habits.