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33 Cards in this Set
- Front
- Back
BPH
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Benign prostatic hyperplasia is an enlargement of the prostate gland resulting from an increase in the number of epithelial cells and stromal tissue.
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What are the 2 groups of BPH symptoms?
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1. Obstructive symptoms
2. Irritative symptoms |
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How is the prostate in a patient with BPH using DRE?
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Symmetrically enlarged, firm and smooth.
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Which drugs work by reducing the size of the prostate gland?
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5-alpha-Redcutase Inhibitors
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Which drugs promote smooth muscle relaxation in the prostate?
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alpha-Adrenergic Receptor Blockers
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Do alpha-Adrenergic Receptor Blockers treat hyperplasia?
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No
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When is invasive therapy indicated with BPH?
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When there is a decrease in urine flow sufficient to cause discomfort, persistent residual urine, acute urinary retention b/c of obstruction with no reversible precipitating cause, or hydronephritis.
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What is TUIP?
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Transurethral incision of the prostate done under local.
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What is TUMT?
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Transurethral microwave therapy outpatient procedure.
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What is TUNA?
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Transurethral needle ablation uses low wave radiofrequency.
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What are the preoperative goals for the patient having invasive procedures?
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1. Restoration of urinary drainage
2. Trmt of any urinary tract infection 3. Understanding of the upcoming procedure, implications for sexual functioning, and urinary control. |
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What are the postoperative goals?
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1. No complications
2. Restoration of urinary control 3. Complete bladder emptying 4. Satisfying sexual expression |
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What is the recommended health promotion focus for BPH?
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A yearly medical hx and DRE for men over 50 years of age.
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Are blood clots expected after prostate surgery?
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Yes, for the 1st 24-36 hours.
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What does large amounts of bright red blood in the urine indicate?
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Hemorrhage
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Define azoospermia.
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No sperm
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Defind balanitis.
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Inflammation of the glans
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Define circumcision.
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Removal of the prepuce.
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Define epispadias.
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A congential abnormality in which the opening of the urethra is on the dorsal surface of the penis, usually fixed w corrective surgery.
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Define eunuchoidism
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When puberty does not occur.
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Define hematocele.
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Swelling caused by blood collecting in a body cavity (especially a swelling of the membrane covering the testis
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Define hydrocele.
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A nontender, fluid-filled mass resulting from interference w lymphatic drainage of the scrotum and swelling of the tunica vaginalis that surrounds the testis.
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Define Hypospadias.
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A urologic abnormality in which the urethral meatus is located on the ventral surface of the penis anywhere from the corona to the perineum.
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Define Oligozoospermia.
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Less than normal sperm count.
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Define Orchitis.
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An acute inflammation of the testis that is painful, tender and swollen.
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Define Paraphimosis.
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Tightness of the foreskin resulting in the inability to pull it forward from a retracted position.
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Define Phimosis.
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Tightness of the foreskin resulting in the inability to retract it.
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Define Prostitis.
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A broad term that describes a group of inflammatorhroniy and noninflammatory conditions affecting the prostate gland.
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What are the 4 categories of prostitis?
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1. acute bacterial prostatitis
2. chronic bacterial prostatitis 3. chronic porstatitis/chronic pelvic pain syndrome 4. asymptomatic inflammatory prostatitis |
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Define priapism.
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A painful erection lasting longer than 6 hours.
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Define Testicular Torsion.
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A twisting of the spermatic cord that supplies blood to the testes and epididymis.
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Define Varicocele.
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A dilation of the veins that drains the testes.
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What is the #1 cause of infertility in men?
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Varicocele.
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