Nursing Management Male Reproductive Problems Chapter 55 Overview
Nursing Management: Male Reproductive Problems Chapter 55 Overview Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc.
Problems of the Prostate Gland Fig. 55 -1. Areas of the male reproductive system in which problems are likely to develop. Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 2
Benign Prostatic Hyperplasia l Etiology and Pathophysiology Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 3
Benign Prostatic Hyperplasia Fig. 55 -2. Benign prostatic hyperplasia. The enlarged prostate compresses the urethra. Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 4
Benign Prostatic Hyperplasia Clinical Manifestations l Complications l Diagnostic Studies l Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 5
Benign Prostatic Hyperplasia l Collaborative Care • Drug therapy • 5 -reductase inhibitors • -adrenergic receptor blockers Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 6
Benign Prostatic Hyperplasia l Collaborative Care, continued • Minimally invasive therapy • Transurethral microwave thermotherapy • Transurethral needle ablation of prostate • Laser prostatectomy • Intraprostatic urethral stents Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 7
Benign Prostatic Hyperplasia l Collaborative Care, continued • Invasive therapy • Transurethral resection of prostate Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 8
Benign Prostatic Hyperplasia Fig. 55 -3. Transurethral resection of the prostate. Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 9
Benign Prostatic Hyperplasia l Collaborative Care • Invasive therapy, continued • Transurethral incision of prostate Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 10
Nursing Management: Benign Prostatic Hyperplasia Nursing Assessment l Nursing Diagnoses l Planning l Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 11
Nursing Management: Benign Prostatic Hyperplasia l Nursing Implementation • Health promotion • Acute intervention • Preoperative care • Postoperative care • Ambulatory and home care l Evaluation Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 12
Prostate Cancer Etiology and Pathophysiology l Clinical Manifestations and Complications l Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 13
Prostate Cancer Fig. 55 -4. Metastasis of prostate cancer to the pelvis and lumbar spine. Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 14
Prostate Cancer Diagnostic Studies l Collaborative Care l • Conservative therapy • Surgical therapy • Radical prostatectomy Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 15
Prostate Cancer Fig. 55 -5. Common approaches used to perform a prostatectomy. A, Retropubic approach involves a midline abdominal incision. B, Perineal approach involves an incision between the scrotum and anus. Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 16
Prostate Cancer l Collaborative Care • Surgical therapy, continued • Nerve-sparing procedure • Cryotherapy Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 17
Prostate Cancer l Collaborative Care, continued • Radiation therapy • External beam radiation • Brachytherapy Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 18
Prostate Cancer Fig. 55 -6. A, Prostate brachytherapy. Implantation of seeds with a needle guided by ultrasound a template grid. B, Radioactive seeds. Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 19
Prostate Cancer l Collaborative Care, continued • Drug therapy • Hormonal therapy • Luteinizing-hormone–releasing hormone (LHRH) agonists and antagonists • Androgen receptor blockers • Estrogen • Orchiectomy • Chemotherapy Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 20
Culturally Competent Care: Prostate Cancer Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 21
Nursing Management: Prostate Cancer Nursing Assessment l Nursing Diagnoses l Planning l Nursing Implementation l • Health promotion • Acute intervention • Ambulatory and home care l Evaluation Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 22
Prostatitis Etiology and Pathophysiology l Clinical Manifestations and Complications l Diagnostic Studies l Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 23
Nursing and Collaborative Management: Prostatitis Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 24
Problems of the Penis Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 25
Congenital Problems Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 26
Problems of Prepuce Fig. 55 -7. A, Phimosis. Unable to retract the foreskin due to secondary lesions on the prepuce. B, Paraphimosis. Ulcer with edema from foreskin remaining contracted over the prepuce. Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 27
Problems of Erectile Mechanism Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 28
Cancer of Penis Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 29
Problems of the Scrotum and Testes Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 30
Inflammatory and Infectious Problems Skin Problems l Epididymitis l Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 31
Inflammatory and Infectious Problems Fig. 55 -8. Scrotal masses. Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 32
Inflammatory and Infectious Problems l Orchitis Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 33
Congenital Problems Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 34
Acquired Problems l Hydrocele Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 35
Acquired Problems Fig. 55 -9. Hydrocele. Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 36
Acquired Problems Spermatocele l Varicocele l Testicular Torsion l Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 37
Testicular Cancer Etiology and Pathophysiology l Clinical Manifestations and Complications l Diagnostic Studies l Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 38
Nursing and Collaborative Management: Testicular Cancer l Testicular Self-Examination Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 39
Nursing and Collaborative Management: Testicular Cancer Fig. 55 -10. Testicular self-examination. Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 40
Nursing and Collaborative Management: Testicular Cancer l Collaborative Care Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 41
Sexual Functioning Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 42
Vasectomy Fig. 55 -11. Vasectomy procedure. The vas deferens is ligated or resected for the purpose of sterilization. Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 43
Erectile Dysfunction Etiology and Pathophysiology l Clinical Manifestations and Complications l Diagnostic Studies l Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 44
Erectile Dysfunction l Collaborative Care • Oral drug therapy • Vacuum constriction device • Intraurethral devices • Penile implants • Sexual counseling Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 45
Nursing Management: Erectile Dysfunction Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 46
Andropause Table 55 -12. Clinical Manifestations of Andropause. Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 47
Infertility Copyright © 2011, 2007 by Mosby, Inc. , an affiliate of Elsevier Inc. 48
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