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) |