Chapter 28 Male Reproductive System Copyright 2010 Delmar

Testicular Examination Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Disorders of the Male Reproductive System • Testicular cancer – Most common cancer in

Disorders of the Male Reproductive System • Testicular cancer – Diagnosis made by biopsy

Disorders of the Male Reproductive System • Prostatitis – Inflammation of prostate mostly in

Disorders of the Male Reproductive System • Prostatitis – Symptoms include burning while urinating,

Disorders of the Male Reproductive System • Prostate cancer – A leading cause of

Disorders of the Male Reproductive System • Benign prostatic hypertrophy – Common in men

Disorders of the Male Reproductive System • Benign prostatic hypertrophy – Cause: prostate constricts

Disorders of the Male Reproductive System • Sexually transmitted diseases – Affect men and

Disorders of the Male Reproductive System • Infertility – Inability or diminished ability to

The Male Reproductive Examination and the TPMS Copyright © 2010 Delmar, Cengage Learning. ALL

Diagnostic Tests and Procedures • Vasectomy >> – Surgical procedure performed on the male

Diagnostic Tests and Procedures • Semen analysis – Performed to complete fertility work-up and

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Disorders of the Male Reproductive System • Testicular cancer – Most common cancer in men ages 20– 35 years – No symptoms; usually a painless lump is found on a testicle – Cause could be an undescended testicle (cryptorchidism) and a history of mumps Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Disorders of the Male Reproductive System • Testicular cancer – Diagnosis made by biopsy of testicular mass – Treatment is orchidectomy followed by radiation and chemotherapy – Monthly testicular exam recommended Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Disorders of the Male Reproductive System • Prostatitis – Symptoms include burning while urinating, back pain, urinary frequency – Cause: bacterial from gonorrhea or urinary tract infection – Diagnostic tests: urinalysis, urine culture, and rectal exam – Treatment: medication and force fluids Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Disorders of the Male Reproductive System • Prostate cancer – A leading cause of death in men with metastasis to spine or pelvis – Symptoms include urinary obstruction, urinating frequently, and inability to urinate – Diagnostic tests include ultrasound, CAT scan, and PSA level – Treatment includes surgery, radiation, and chemotherapy Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Disorders of the Male Reproductive System • Benign prostatic hypertrophy – Common in men age 50 or older – Symptoms • Inability to completely empty the bladder • Diminished flow of urine • Difficulty starting to urinate Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Disorders of the Male Reproductive System • Benign prostatic hypertrophy – Cause: prostate constricts urethra – Diagnostic tests include prostate-specific antigen, excretory urography, ultrasound, and biopsy – Treatment includes medication or surgery known as transurethral resection Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Disorders of the Male Reproductive System • Sexually transmitted diseases – Affect men and women and can damage health and cause infertility • Balanitis – Usually caused by poor hygiene in uncircumcised men – Also caused by bacteria, fungi, viruses, caustic soaps, and improper rinsing with soap Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Disorders of the Male Reproductive System • Infertility – Inability or diminished ability to conceive – Treatments depend on the cause • Can include surgery, antibiotics, pharmaceuticals, or artificial insemination • Erectile dysfunction – Treatments depend on the cause • Can include medication, penile injections, sex therapy, penile implants, vacuum pumps Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Diagnostic Tests and Procedures • Vasectomy >> – Surgical procedure performed on the male in which a portion of the vas deferens is removed, rendering the male sterile Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED.

Diagnostic Tests and Procedures • Semen analysis – Performed to complete fertility work-up and evaluate effectiveness of a vasectomy • Urodynamic studies – Tests the lower urinary tract – Measures bladder capacity, strength of contraction, and ability to retain urine in the bladder Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED.