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Nurse Practitioner (NP)
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Pathology
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Male Reproductive Disorders

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Pathology | Nurse Practitioner (NP) School Study Aid

Male Reproductive Disorders
10 Picmonics to Learn | 22 mins
Erectile Dysfunction
Cause/Mechanism
Age-Related Changes
Psychological
Medical Conditions
Drug-Induced
Assessment
Sexual Dysfunction (Unable to Maintain Erection)
Interventions
Phosphodiesterase Type 5 (PDE5) Inhibitors
Vacuum Constriction Devices
Intraurethral Devices
Penile Implants
Considerations
Sexual Counseling
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2 mins
Benign Prostatic Hyperplasia (BPH) Disease
Mechanism and Characteristics
DHT-induced Growth Factors
Common in Men > 50 Years Old
Smooth, Symmetric, Firm Enlargement
Affects Lateral and Middle (Periurethral) Gland
Urethra Compression
Symptoms and Complications
Increased Urinary Frequency
Nocturia
Dysuria
Urinary Tract Infection
Hydronephrosis
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1 min
Benign Prostatic Hyperplasia (BPH) Diagnosis and Treatment
Diagnosis
Digital Rectal Exam
Urinalysis to Detect Infection or Blood
Treatment
Alpha-1 Antagonists
Tamsulosin
5 Alpha Reductase Inhibitors
Finasteride
TURP (Transurethral Resection of Prostate)
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1 min
Prostate Cancer Assessment
Most Common Cancer in Men
Assessment
Mimics BPH
Metastasis to Back
Low Back Pain
Fatigue
Considerations
Prostate Specific Antigen (PSA)
Digital Rectal Examination (DRE)
Transrectal Ultrasound (TRUS)
Biopsy
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2 mins
Hydrocele
Mechanism
Impaired Lymphatic Drainage
Signs and Symptoms
Large Scrotum
Painless
Considerations
Needle Aspiration or Surgery
Scrotal Support
Monitor for Bleeding and Infection
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1 min
Prostatitis
Chronic Bacterial Prostatitis
Acute Bacterial Prostatitis
Types
Sexually Transmitted Organisms
E. Coli Infection
Assessment
Flu-Like Symptoms
Perineal Pain
Dysuria
Sexual Dysfunction
Recurrent UTIs
Urinalysis
Tender Boggy Prostate
Management
Antibiotics
Considerations
Chronic Prostatitis
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3 mins
Infertility
No Conception After 1 Year
Interventions
Artificial Insemination
In Vitro Fertilization (IVF)
Drug Therapy
Clomiphene Citrate (Clomid)
Menotropins
GnRH Agonists
Considerations
Treat Underlying Disorders
Emotional Support
Multiple Gestations
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3 mins
Varicocele
Pathophysiology
Dilation of Pampiniform Plexus Veins
Signs and Symptoms
Soft Left-Sided Scrotal Mass
Bag of Worms
Increased Size with Standing or Valsalva
Decreased Size while Supine
Testicular Atrophy
Subfertility
Diagnosis
Ultrasound
Retrograde Venous Flow
Treatment
Surgical Gonadal Vein Ligation
Scrotal Support
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3 mins
Testicular Torsion
Characteristics
Sudden Twisting of Spermatic Cord
Affects Neonates and Adolescents
Bell Clapper Deformity
Clinical Features
Severe Acute Testicular Pain
Abnormal Testicular Position
Nausea and Vomiting
Diagnosis
Doppler Ultrasound of the Scrotum
Treatment
Emergent Surgical Intervention
Manual Detorsion
Considerations
Testicular Infarction
Infertility in Males
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4 mins
Prostate Adenocarcinoma Characteristics and Presentation
Characteristics
Most Common Cancer in Men
Screening Test if Suspicious
Prostate Specific Antigen (PSA)
Peripheral Zone
Risk Factors
African American
Advanced Age
Presentation
Usually Asymptomatic
Terminal Hematuria
Urinary Retention or Incontinence
Lower Back Pain
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2 mins

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