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33 Cards in this Set

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