Timby's Introductory Medical-Surgical Nursing: Chapter 55: Disorders of the Male Reproductive System Flashcards

• condition due to which one or both testes fail to descend into the scrotum
• occurs mostly during childhood

What could happen cryptorchidism isn't treated by the age of 2 years old?

Treatment for cryptorchidism?

when both testicles are permanently absent, what can be implanted within the scrotum to provide a normal anatomic appearance?

Nurse management/interventions/teachings for clients with cryptorchidism?

Review Client and Family Teaching 55-1

involves the rotation of the testicle that twists the spermatic cord around the testicular artery compromising blood flow to the testicle

This client presents with:

• sudden, sharp testicular pain w/ visible local swelling
• nausea, vomiting, chills, and fever due to the pain
• physical exam reveals extremely tender testis
• elevation of the scrotum intensifies the pain by increasing the degree of the twist
• may happen due to intense exercising, during sleep, or b/c of crossing the legs

Tx for torsion of the spermatic cord

Nursing interventions for clients who have surgery due to the torsion of the spermatic cord

• occurs in uncircumcised male clients
• inability to retract prepuce (foreskin)
• caused by congenitally small foreskin and poor hygiene and infection

• occurs in uncircumcised male clients
• strangulation of the glans penis from the inability to replace the retracted foreskin

This client presents w/:

• pain w/ erection and intercourse
• difficulty cleaning under the foreskin

This client presents w/:

• painful swelling of the glans
• severe edema
• urinary retention

treatment for clients w/ paraphimosis and phimosis

• caused by E. coli
• inflammation of the prostate gland
• most often caused by microorganisms that reach the prostate by the way of the urethra

This client presents w/:

• glandular swelling and tenderness
• GU problems
• perineal pain/discomfort
• an unusual sensation preceding or following ejaculation
• low back pain
• chills
• dysuria
• urethral discharge

Tx for clients w/ prostatitis

• inflammation of the epididymis and testis
• can lead to prostatitis or infection elsewhere in the body

This client presents w/:

• pain/swelling in the inguinal area and scrotum
• fever and chills
• pyuria
• urine containing bacteria
• swollen testis and epididymis
• scrotal skin that is red and tense

Tx for clients w/ epididymitis and orchitis

nursing interventions for clients w/ epididymitis and orchitis

• aka 'impotence'
• inability to achieve an erection
• inability to achieve an erection sufficiently rigid enough for sex
• inability to sustain an erection for satisfactory period of time

Medications that can cause ED

This client presents w/:

• difficulty in achieving and maintaining an erection
• insufficient rigidity for penetrating the vagina or that intercourse is less than satisfactory

Test used to determine if client has ED

What medication is administered for a penile Doppler sonography? and at what angle?

tx for ED

If a client undergoes a penile implant, the nurse monitors for?

After a client has penile implant, what should the nurse include in discharge teaching?

a condition is which the penis becomes engorged and remains persistently erect w/o any sexual stimulation

This client presents w/:

• an engorged penis that produces significant discomfort and interferes w/ arterial blood flow, urinary elimination
• a vascular issue that may be caused by meds RX'd for ED

Medical TX for priaprism

• occurs as men age
• interferes w/ emptying the bladder causing urinary retention

This client presents w/:

• takes more effort to void
• narrow urine stream and decreased force
• bladder empties incompletely
• increased urge to urinate
• nocturia
• s/s of cystitis may develop

Diagnostic exams for dx'ing BPH

Medical and Surgical management for BPH

the balloon tip of a catheter is inflated for 10-20 minutes to stretch the prostatic urethra

part of the prostate is removed w/ a cutting instrument inserted through an endoscope

• a continuous bladder irrigation is ordered after this to remove blood clots and residual tissue
• clients may experience retrograde ejaculation, in which semen is deposited in the bladder rather through the urethra, rendering the client sterile
• clients may have temporary or permanent incontinence

REVIEW CLIENT AND FAMILY TEACHING 55-2: MAINTAINING OPTIMAL BLADDER FUNCTION

This client presents w/:

• compromised blood flow
• frequency, nocturia, dysuria
• hematuria
• hemospermia
• ED
• back pain or pain down the leg (when pain develops, the disease often is in an advanced stage)

Diagnostics for Prostate Cancer?

Surgeries for prostate cancer

This client presents w/:

• testicular lump that is hard or granular
• increase in the size of one testicle
• heavy or dragging feeling in scrotum
• dull ache in the groin or above the pubis
• diminished sensitivity to testicular pressure
• gradual or sudden swelling of the scrotum or lump felt on palpation

Tumor markers for testicular cancer

Medical and surgical management for testicular cancer

read nursing management on pg. 768/1024 for testicular cancer surgery

• minor surgical procedure done in a PCP's office or clinic
• the ligation of the vas deferens and results in permanent sterilization by interrupting the pathway that transports sperm
• this client may wish to consider sperm banking before undergoing this procedure

Nurse teaching for a client who receives a vasectomy

surgical attempt to reverse a vasectomy by restoring patency and continuity to the vas deferens