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