Ch 55 part 1
Hydrocele & spermatocele
Which disorders are not clinically significant & DONOT require treatment?
To prevent atrophy of the spermatic cord and preserve fertility.
Why is immediate surgery required for a torsion?
It will damage tissue
Why should the nurse not keep ice next to the skin constantly?
Dihydrotestksterone
With __ the stimulus for growth of the prostate gland is reduced.
1-neurological stimulation 2-blood flow 3-temporary trapping of venous blood.
3 basic processes that erection is based on...
Cryptorchidism
A condition in which one or both testes fail to descend into the scrotum.
Spermatocele
A self-contained cystic mass on the epididymis.
Hydrocele
An accumulation of fluid around the testicle.
CFHU
Cardura, flomax, hytrin, urixatril; reduce the tone of smooth muscle in the bladder neck and prostatic urethra & should be given at bedtime to reduce orthostatic hypotension,
Varicocele
Dilation of the veins of the spermatic cord.
Undescended testes occasionally find their way into the scrotum without treatment.
During childhood or at puberty...
Priapism
Penis becomes engorged & remains erect. Surgery may be required to shunt blood temporarily.
Malfunction if the device from under inflation, bulging of cylinders during inflation, loss of fluid from the implant which can occur with falls or improper use.
Possible complication after discharge?
P africanum
Reduces inflammation and removed cholesterol deposits in the prostate gland.
Bleeding, urinary retention, situational low self esteem.
Risk for's:
The greater the potential that fertility will be compromised.
The longer the testes remain undescended...
Fever, chills and pus & bacteria in the urine.
What are the signs of epididymitis & orchitis?
E.Coli & microbes that cause stds.
What bacteria is responsible for prostatitis?
Sudden sharp testicular pain.
What do clients report as a sign of torsion of the spermatic cord?
They advocate for infant & childhood IMMUNIZATIONs against infectious diseases, such as the mumps.
What do nurses do to reduce potential adult complications such as orchitis?
To perform testicular self-examination to detect ant abnormalities in the scrotum.
What do nurses teach men with cryptocorchidism?
That when a pump implant is inserted that the erect penis will be shorter than in preillness erections.
What does the nurse Inform the client of after ED surgery when a pump type implant is inserted?
Antidepressants, narcotics & cimetidine. Not ibuprofen.
What drugs affect cause sexual dysfunction?
No spontaneous erections during sleep.
What erectile dysfunction suggest a physiologic etiology for ED?
It takes more effort to void.
What is a sign noticed by a client with BPH?
Apply a scrotal support; especially when client is out of bed.
What is done after torsion surgery?
The nurse elevates the scrotum with a folded towel or a four-tail bondage.
What is done by the nurse to relieve pain of epididymis/orchitis?
That one teste is larger than the other.
What is normal to be found during a testicular self exam?
Continuous bladder irrigation
What is ordered after a turp to prevent blood clots?
30 days of antibiotics, analgesics & sitz baths.
What is the treatment for prostatitis?
Monthly with warm water in the shower.
When & how often should men perform testicular self exams?
