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FSU 341 Mens health

Men's health for Test 3

What is the focus of Men's health? Focus is on conditions affecting reproduction, sexuality, and urinary elimination in males
What are major issues (2) that deter males from seeking care concerning men's health? Anxiety and embarrassment
Two important nursing considerations when working in men's health: --Be sensitive to cultural and emotional issues related to sexuality and the genitals --Provide privacy and education
Symptoms related to urinary obstruction (4) 1-delayed or abrupt stream 2-pain with urination 3-increase of infection 4-frequent urination
Nursing assessment for this focus includes gathering information concerning: Urinary function and symptoms, Sexual function & manifestations of sexual dysfunction, Symptoms related to urinary obstruction, Medications, drug, and alcohol use,Conditions that may affect sexual function
Examples of conditions that may affect sexual function (3) diabetes, cardiac disease, and multiple sclerosis
Common Diagnostic Tests include (4) Prostate specific antigen (PSA), Ultrasonography, Prostate fluid or tissue analysis, Tests of male sexual function
Disorders of Male Sexual Function Ejaculation problems, and Erectile dysfunction
Causes of erectile dysfunction Psychogenic and organic causes, Medications associated with erectile dysfunction
Organic causes of erectile dysfunction vascular, endocrine, hematological, and neurologic disorders, trauma, alcohol, medications, and drug abuse
Ejaculation problems Premature ejaculation, Retrograde ejaculation
Medical Management of erectile dysfunction (3) Pharmacologic therapy (oral, IM, urethral suppositories), Negative pressure devices, and sexual counseling
Side effects of oral pharmacologic therapy for erectile dysfunction and contraindications headache, flushing, dyspepsia, Caution with retinopathy, Contraindicated with nitrate use
Side effects of Injected vasoactive agents as therapy for erectile dysfunction Complications include priapism (persistent abnormal erection)
Priapism persistent, abnormal erection (considered a medical emergency)
What is an example of a negative pressure device used to treat erectile dysfunction? Vacuum constriction devices (erectile pump)
Prostatitis inflammation of the prostate caused by an infectious agent
Treatment of prostatitis Appropriate anti-infective agents and measures to alleviate pain and spasms
Most common cancer in men and the second most common cause of cancer death in men prostate cancer
Nursing Diagnoses of the Patient Undergoing Prostatectomy (4) Anxiety, Acute pain preoperatively, Acute pain postoperatively, Deficient knowledge
Major nursing goal for pre-op Prostatectomy patients Adequate patient preparation and reduction of anxiety and pain
Relief of pain for post-op prostatectomy patients Monitor urinary drainage, keep catheter patent, watch for bladder spasms, warm compresses or sitz baths (spasms), analgesics and antispasmodics as needed, Encourage pt to walk, avoid prolonged sitting, Prevent constipation, Irrigate catheter as prescribed
Affects of bladder spasms in post-op prostatectomy patient pressure and fullness, urgency to void, and bleeding from the urethra around the catheter
Regaining bladder control post-op prostatectomy a gradual process (dribbling may continue for up to one year depending upon the type of surgery), Perineal exercises help
Rehabilitation and Home Care-prostatectomy Avoid straining, heavy lifting, long car trips (for 6 to 8 wks), Diet: encourage fluids and avoid coffee, alcohol, and spicy foods, Assess sexual issues and provide referrals as needed
Hypospadias a birth (congenital) defect in which the opening of the urethra is on the underside, rather than at the end, of the penis
epispadias A congenital defect in which the urethra does not develop into a full tube. The urine exits the body from the wrong place. (upper portion of the penis)
Phimosis the inability to retract the distal foreskin over the glans penis
Bowen’s disease Bowen's disease (also called squamous cell carcinoma in situ) is a slow-growing and red, scaly skin patch (Penile cancer)
Peyronie’s disease A curve in the penis caused by inflammation and scar tissue form along the shaft of the penis
Urethral stricture a narrowing of the urethra caused by injury or disease such as urinary tract infections or other forms of urethritis
Circumcision the surgical removal of the foreskin (prepuce) from the penis (in Latin, circumcision means "to cut around")
Inflammatory and Infectious Problems of the scrotum and testes Skin problems, Epididymitis, Orchitis
Epididymitis swelling (inflammation) of the epididymis, the tube that connects the testicle with the vas deferens Symptoms:may begin with a low-grade fever, chills, heavy sensation in the testicle area, area becomes more sensitive to pressure
Orchitis swelling (inflammation) of one or both of the testicles. Symptoms: Blood in the semen; Discharge from penis; Fever; Groin pain; Pain with intercourse or ejaculation; Pain with urination (dysuria); Scrotal swelling
Acquired Problems of the scrotum and testes Varicocele, Testicular torsion, Hydrocele, Spermatocele
Varicocele widening of the veins along the cord that holds up a man's testicles (spermatic cord). Symptoms: Enlarged, twisted veins in the scrotum; Painless testicle lump, scrotal swelling, or bulge in the scrotum
Testicular torsion the twisting of the spermatic cord, which cuts off the blood supply to the testicle and surrounding structures within the scrotum: symptoms include Sudden onset of severe pain in one testicle, n/v, Swelling within one side of the scrotum
Testicular cancer is most often presented in what age group? age 15 to 40 (it is highly treatable and curable)
Treatment of testicular cancer orchidectomy, retroperitoneal lymph node dissection (open or laparoscopic), radiation therapy, and chemotherapy
Nursing management for testicular cancer Assess physical and psychological status, Support coping ability, Address issues of body image and sexuality, Encourage a positive attitude, Provide patient teaching, Provide TSE and follow-up care
Vasectomy surgery to cut the vas deferens, the tubes that carry a man's sperm from his scrotum to testicles
Andropause usually occurring between the ages of 45 and 55, during which a man's testosterone levels may fall
orchidectomy the surgical removal of one or both testes
retroperitoneal lymph node dissection a procedure to remove abdominal lymph nodes to treat testicular cancer
Retrograde ejaculation when all or part of semen travels backward (retrograde) into the bladder at the time of ejaculation due to the muscle that shuts the bladder functioning abnormally
Early diagnosis of testicular cancer can be made if patients regularly perform: monthly testicular self-exams (TSE) and annual testicular exams
When performing Testicular Self-Exams patients look for swelling, lumps, or changes in the size or color of a testicle, or any pain or achy areas in the groin
Testicular self-exam directions (one testicle at a time) Use both hands to roll testicle (with slight pressure) between fingers. With thumbs over top of testicle, with the index and middle fingers of each hand behind the testicle, and & roll it between fingers. check spermatic cord
Signs/symptoms of andropause decreased libido, erectile dysfunction, fatigue, decreased bone mass
Andropause is managed with hormone replacement therapy, side effects of hrt for andropause include chloresterol issues, mood swings, possible correlation with BPH
Manifestations of testicular cancer painless lump or mass
Testicular cancer development risk factors 1 orchidectomy 2 undescended testes 3 positive family history 4 Caucasian Americans are at higher risk
Patient teaching for Post-op prostate surgery patients includes: 1 catheter care 2 warning signs that need to be reported to physician (bleeding or inability to void bladder)
Nursing communication/teaching to help reduce anxiety in patients undergoing prostate surgery includes: 1 maintain trusting relationship/provide privacy 2 allow pt to verbalize concerns 3 explain post-op tests and procedures 4 explain all diagnostic tests 5 education regarding pain management
Potential post-op prostate surgery complications 1 urinary obstruction 2 infection 3 DVT 4 sexual disfunction 5 ineffective teaching to pt regarding care
Prostatectomy postoperative goals (4) 1 voiding w/continuous flow 2 avoiding or minimizing risk of infection 3 watching for bleeding 4 pain management
Treatment of prostate cancer may include 1 prostatectomy 2 radiation 3 chemotherapy 4 hormone therapy
Manifestations of prostate cancer 1 early-few or no symptoms 2 urinary obstruction, blood in urine, painful ejaculation 3 metastasis (liver, bone marrow, lungs, brain)
Increased risk of developing prostate cancer includes (3) Age, Family history, African Americans are at higher risk of developing
Rates of BPH by age Affects half of men over age 50 (50%), and 80% of 80y/o
Manifestations of BPH are similar to prostate cancer
Prostatitis inflammation of prostate caused by an infectious agent
Treatment of BPH 1-Pharmacologic treatment 2-catheterization 3-surgery
Drug therapy for treatment of BPH Alpha-blockers (Relax muscles near the prostate, 5 alpha-reductase inhibitors (slow or shrink prostate growth), Phosphodiesterase type 5 inhibitors (PDE5 inhibitors)(relax muscles near prostate)
Created by: 21715308