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MS Genitourinary

independent study

benign prostate hyperplasia enlarged prostate
benign prostate hyperplasia S & S difficulty in initiating urination or in completely emptying the bladder in 1st stage/ later stages-nocturia, dribbling, urinary freqency, wk stream & incontinence
rx of benign prostate hyperplasia alpha blocker meds, thermotherapy (TUMT) or prostivia RF (radio frequency), TURP, HoLEP, TUIP, TULIP
TUMT transurethral microwave therapy
TURP transurethral prostate resection
HoLEP holmium laser enucleation of prostate
TUIP transurethral incision of the prostate
TULIP transurethral ultrasound-guided laser incision of prostate
prostatitis inflammation of prostate
S & S of prostatitis low back pn, pn in pelvis, perineal fullness or pn, fever, dysuria & urinary frequency & urgency
Rx of prostatitis antibiotic and/or antimicrobial therapy + rest & increase fluid. alpha blockers, analgesics, antipyretics, stool softeners, sitz bath, regular ejaculation
prostate CA group at risk males over 50-African Americans, exposure to environmental or chemical elements, co-existing STDs, endogenous hormonal influence
prostate CA prevention & Dx no known method of prevention. dx-digital rectal exam, biopsy, CT or US, PSA blood test, AMACR (alpha-methylacyl CoA racemase)
prostate CA prognosis earlier its detected, better prognosis. survival rates for all stages combined have steadily increased from 50% to 76%
erectile dysfunction, impotence inability to achieve, sustain erection sufficiently for sexual performance
causes of erectile dysfunction, impotence blood flow (meds, atherosclerosis), neurologic (DM, SCI, radiation therapy), psychologic
erectile dysfunction, impotence rx medication, testosterone, penile prosthetic implant
UTI (cystitis) inflammation of bladder, bacterial growth, more common in women
end-stage renal disease (ESRD) usually the result of chronic renal failure, is the gradual, progressive deterioration of kidney function to the point that kidneys can't do what is needed for survival
end-stage renal disease (ESRD) S & S drowsiness & lethargy, confused, anemic, dehydrated, dyspneic, HTN, osteoporosis
rx end-stage renal disease (ESRD) dialysis or kidney transplant. dialysis 9-12 hrs per wk. kidney transplant rx of choice, donor can be relative or cadaver. need immunosuppressive drugs
stress incontinence involuntary loss of urine that is sufficient to be a problem and occurs most often when the bladder pressure exceeds sphincter resistance
stress incontinence risk factors older female, has given birth in past, obesity, cigarette smoking, caffeine, ETOH
stress incontinence triggered by sneezing, laughing, coughing, bending, hi impact ex
stress incontinence weak mm pelvic floor, secondary lower abd
pelvic floor disorders associated w/ stress incontinence that require sx uterine prolapse (uterus dropped into vagina), cystocele (bladder dropped into vagina), rectocele (rectum dropped into vagina)
labor is characterized by 2 changes in the cervix effacement & dilation
effacement shortening, thinning of cervix from 5 cm (2in) to thickness of paper
dilation opening of cervix from the diameter of fingertip to 10 cm
dilation is complete at 10 cm
what happens in stage 2 "pushing" & expulsion of fetus
what happens in stage 3 detachment & expulsion of placenta
what is uterine involution uterus continues to contract & decrease in size for 3-6 wks.
Created by: jessigirrl4