Disorders of the Male Reproductive System
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| show | Condition in which the prepuce is too small to allow retraction of the foreskin over the glans
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| show | Accumulation of fluid between the membranes covering the testicle and the membrane enclosing the testicle
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| When does pain from hydrocele occur? | show 🗑
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| show | Most hydroceles occur in males over 21 years old
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| show | Actual cause unknown; may develop as a result of trauma, orchitis(inflammation of the testes), or epididymitis
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| show | *Aspiration of fluid from the sac; relieves pain and allows scrotum to be examined more easily *Surgical removal of the sac to avoid constriction of circulation of testes
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| show | *Bed rest *Scrotal support with elevation *Ice to edematous areas *Frequent dressing changes to avoid skin impairment
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| show | Veins within the scrotum become dilated. Obstruction and malfunctioning of the veins cause engorgement and elongation, therefore blood cannot drain adequately
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| show | Often seen in men with low fertility
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| show | *Pulling sensation *Pain *Edema
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| Medical management of varicocele | show 🗑
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| Nursing interventions for varicocele | show 🗑
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| What is testicular torsion? | show 🗑
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| Who does testicular torsion occur in? | show 🗑
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| Risk factors for testicular torsion | show 🗑
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| show | *A sudden, sharp testicular pain *Nausea, vomiting, chills, and fever *Extremely tender testis with swelling *Pain intensifies with elevation of the scrotum
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| Medical management of testicular torsion | show 🗑
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| show | *Preoperatively, administer prescribed analgesia to relieve pain *Post-operatively, apply scrotal support *Inspect dressing for signs of drainage *Administer antibiotics if ordered *Report any sudden onset of pain to the physician
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| Prior to surgical intervention for testicular torsion, what occurs if the scrotum is elevated? | show 🗑
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| show | *Functional impotence (psychological) *Anatomical impotence (physical defect) *Neurological abnormalities affect erectile function *Radical prostatectomy *Medications *Abused substances *Disease (DM, COPD)
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| Medical management of impotence | show 🗑
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| What is the medicinal use of androgens? | show 🗑
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| What is androgen responsible for? | show 🗑
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| What route of administration of testosterone/androgen that bypasses initial liver metabolism? | show 🗑
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| Contraindications of androgen | show 🗑
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| Androgens in geriatrics increases the risk of what? | show 🗑
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| What is virulism? | show 🗑
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| show | Bone age determinations should be measured every 6 months to determine rate of bone maturation and effects on epiphyseal closure
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| show | *Virulism *Edema *Erectile dysfunction (too often, difficulty) *Cramps *Anxiety, headache, depression *Buccal: bitter taste, gingivitis, gum edema, gum tenderness.
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| show | 4-12 wk after starting therapy
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| For a PT on transdermal androgen, when should serum testosterone concentrations be monitered? | show 🗑
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| show | Verelan (verapamil)
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| What should be done with all bedridden patients on androgens to prevent mobilization of calcium from the bone. | show 🗑
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| How should buccal androgens be applied? | show 🗑
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| show | *Priapism (sustained and often painful erections). *Difficulty urinating. *Gynecomastia. *Edema (unexpected weight gain, swelling of feet). *Hepatitis (yellowing of skin or eyes and abdominal pain). *Unusual bleeding or bruising
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| What is androgen therapy limited to? | show 🗑
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| show | *Erectile dysfunction. *sildenafil (Revatio): pulmonary hypertension
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| show | Nitrates
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| show | *Headache, dizziness, insomnia *Abnormal vision (color tinge to vision, increased sensitivity to light, blurred vision) *Epistaxis *MI, SUDDEN DEATH, CARDIOVASCULAR COLLAPSE. *Priapism *UTI *Flushing, rash *Mylagia. *Paresthesias.
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| Why should Phosphodiesterase Type-5 Inhibitors not be taken with nitrates or anti-HTNs? | show 🗑
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| True or False: Phosphodiesterase Type-5 Inhibitors are a great choice for PTs with the absence of sexual stimulation. | show 🗑
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| show | 1 hr before sex
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| show | at least 30 min prior to sex
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| When should Revatio be administered? | show 🗑
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