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farevalo2
on FreezingBlue Flashcards.
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function of the testes?
- dual function:
- spermatogenesis (sperm prod)
- secrete testosterone
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funtion of the prostate gland?
secretes what is chemically and physiologically suitable for the needs of the spermatozoa in their passage from the testes
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gerintologic considerations for male repro?
- prostate gland enlarges w/age & secretions decrease
- scrotum hangs lower
- testes get smaller and more firm
- d/c testosterone
- d/c sexual function
- i/c GU cancer
- i/c incontinence
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decrease in sex hormone secretion causes?
- d/c muscle strength and sexual energy
- d/c in viable sperm
- shrinking of testes
- Erectile dysfunction (ED)
- enlargement of prostate
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what are the changes in sexual response to age?
- prolonged time to reach full erection
- rapid penile detumescence (d/c swelling)
- prolonged refractory time
- d/c viable sperm
- ED
- s/s of obstruction of lower urinary tract
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PLISSIT
- permission
- limited
- info
- specific
- suggestions
- intensive
- therapy
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s/s of enlarged prostate?
- increased urinary freq
- d/c force
- double, triple voiding
- dysuria
- hematuria
- hematospermia
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influencing factors of sexual dysfunction?
- stress
- physical disease (DM, MS, Stroke, Cardiac)
- meds (antiHTN, anticholinergics, psychotropics)
- drugs
- alcohol
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positive DRE and increased PSA =
prostate cancer
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PSA
- prostate specific antigen that is produced by the prostate gland
- increased in prostate cancer (over 0.4 ng/mL)
- normal 0.2-0.4
- drawn before DRE or catheterization or you will get a false negative
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when is PSA elevated?
- in BPH, prostate cancer, infections of the prostate and urinary tract
- ID those at risk
- used to monitor after Tx for cancer
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TRUS
- transrectal ultrasound
- done after DRE
- guides needle biopsies
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teaching to minimize recurrence of prostate cancer?
have regular PSA tests and repeat lymph node biopsies
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surgical removal of one teste?
orchiectomy
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hydrocele
- collection of fluid in the tunica vaginalis (scrotum)
- repair of hydrocele- hydrocelectomy
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Viagra
- one hr before sex
- for ED, impotence
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prostatitis
inflammation of the prostate gland
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priapism
uncontrolled, presistant erection of the penis from either neural or vascular causes.
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