click below
click below
Normal Size Small Size show me how
M6 13-005
Exam 8: Reproductive System; D/O of the Male Reproductive System
Term | Definition |
---|---|
Phimosis: Etiology | Condition in which the prepuce is too small to allow retraction of the foreskin over the glans |
Phimosis: Pathophysiology | Often congenital May be a result of local inflammation Rarely severe enough to obstruct urine flow Does not permit adequate cleansing |
Phimosis: Assessment/Dx | Inability to retract the foreskin |
Phimosis: Medical Management | Circumcision |
Phimosis: Nursing Intervention | Dressing Changes Bleeding Urine Flow |
Hydrocele: Etiology | Accumulation of fluid between the membranes covering the testicle and the membrane enclosing the testicle |
Hydrocele: Pathophysiology | Scrotum slowly enlarges Pain Occurs Most Hydroceles occur in males over 21 years old Actual cause unknown |
Hydrocele: Asessment/Dx | Based on physical Exam |
Hydrocele: Medical Management | Aspiration Surgical Removal |
Hydrocele: nursing Interventions | Bed Rest Scrotal support with elevation Ice to edematous areas Frequent dressing changes to avoid skin impairment |
Varicocele: Etiology | Veins within the scrotum become dilated |
Varicocele: Pathophysiology | Obstruction and malfunctioning of the veins Often seen in men with low fertility |
Varicocele: Assessment/Dx | Pulling sensation Pain Edema |
Varicocele: Medical Management | Surgical removal of the obstruction Ligation of the spermatic vein |
Varicocele: Nursing Interventions | Bed Rest Scrotal support Ice on the incision site Medication for discomfort as ordered |
Testicular Torsion: Etiology | A twisting of the spermatic cord resulting in a kinking of the artery, therby compromising blood flow to the testicle. |
Testicular Torsion: Pathophysiology | Spermatic cords are congenitally unsupported May follow severe exercise May occur during sleep May occur after a simple maneuver such as crossing legs |
Testicular Torsion: Assessment | A sudden, sharp testicular pain N/V, chills, & fever Extremity tender testis with swelling pain intensifies with elevation of the scrotum |
Testicular Torsion: Medical Management | Immediate surgery |
Testicular Torsion: Nursing interventions | Pre-op: Administer prescribed analgesia for pain Post-op: apply scrotal support Inspect dressing for signs of drainage Administer ABx if ordered Report any sudden onset of pain to the physician |
Erectile Dysfunction (ED): Etiology & Pathophys | Functional ED anatomical ED Neurological Abnormalities affect erectile function Radical prostatectomy Medications Illicit or abused substances Diseases |
Erectile Dysfunction (ED): Diagnosis | Based on client history and physical exam |
Erectile Dysfunction (ED): Medical management | Assessment of the causative factors Sildenafil citrate (Viagra) Hormonal replacement (testosterone) Mechanical devices |
Erectile Dysfunction (ED): Nursing Management | Pt education (meds, Implant, Infection) |