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14 Cards in this Set
- Front
- Back
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What 4 things are necessary to achieve & sustain an erection? |
1. healthy nervous system 2. healthy arteries 3. healthy smooth muscle 4. adequate NO levels |
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Causes of ED |
aging diabetes HTN CVD smoking nerve/spinal cord damage depression/anxiety |
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ED diagnosis |
repeated inability to achieve and/or maintain an erection for satisfactory sexual perfomance for at least 3 months |
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ED tx |
-vaccuum pump & tension ring -self injections (PGE1) (no stimulation nec.) -oral meds (viagra, cialis) (requires stimulation) -surgery (inflatable implants) (irreversible) |
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What is Priapism? |
Erection lasting > 4 hrs w/o sexual stimulation
-due to inability of blood to drain from penis -can lead to ED (fibrosis) (also may be caused by ED meds) |
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Priapism tx |
TX IMMEDIATELY !!
-repeat ejaculation, physical activity -oral terbutaline or salbutamol (give early) -drain blood |
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What is Peyronie's disease?
what is it associated with? |
abnormal curvature during erection d/t fibrosis of tunic of corpa (may result from trauma)
assoc. w Dupuytren/s contracture of the hand* |
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Peyronie's tx |
-none if no pain or sexual dysfunction (benign cond) -surgical excision & graft (may lead to ED, only do if causing sexual dysfunction) |
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Most common malignancy in US males & 2nd leading cause of cancer death (in males)
risk factors? |
prostate cancer (occurs in 1/6) men
RF: african americans family hx increasing age (> 70) |
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Prostate cancer dx |
-digital rectal exam- elevated PSA & free PSA (do yearly screenings at 50, PSA inc w age) -Prostatic acid phosphatase (PAP) -CT -biopsy
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Prostate cancer is only tx if pt has a life expectancy > 5-10 yrs
tx options |
-surgical remove (can cause incontinence & ED) -intersistial brachytherapy (radiation seeds) -cryoablation (freezing prostate) -hormone (teststerone) removal (dec growth) -external beam radiation
(if you choose to do external radiation you cannot surgically excise after) |
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Testicular cancer is not very common. Who might it occur in? |
young caucasion males (20-40)
w abnormal testicle development, an undescended testicle, or a family hx
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Young male comes in w testicular swelling & a mass in his testicle. He noticed mass 2 wks ago and it has been increasing daily in size. Dx? Tx? |
testicular cancer -dx w/ testicular exam & ultrasound -may have inc beta-hCG & AFP
tx: inguinal incision & surgical removal or entire testicle & cord (orchiectomy) |
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Penile cancer is also rare. Who is it most likely to occur in?
How does it present? tx? |
uncircumcised men w HPV -presents w penile lesions
tx: antibiotics |
