Male Genitourinary System 1

Front 1

first sign of puberty in boys

Back 1

enlarged testes

Front 2

2nd and 3rd sign of puberty

Back 2

pubic hair, and penis size increases

Front 3

does not experience a definite end to fertility

Back 3

older male

Front 4

production of sperm begins to decrease around what age?

Back 4

40

Front 5

testosterone beings to gradually decrease around what age?

Back 5

30

Front 6

amount of pubic hair decreases and turns gray. penis size decreases. scrotal contents hang lower. rugae decreases, testes decrease and are less firm to palpation. increase in connective tissue

Back 6

older man

Front 7

slower and less intense sexual response due to lower testosterone. erection takes longer to develop less full or firm. ejaculation is shorter and less forceful. volume of seminal fluid is less. rapid flaccid state after ejaculation occurs after 60

Back 7

older man

Front 8

what stage:no pubic hair, fine body hair on abdomen, preadolescent penis and scrotum size

Back 8

stage 1

Front 9

what stage:few straight, slightly darker hairs at base of penis, little or no enlargement of penis, testes and scrotum being to enlarge

Back 9

stage 2

Front 10

what stage:sparse growth of hair over entire pubis, hair is darker, coarse and curly. Penis and scrotum continue to enlarge especially in length

Back 10

stage 3

Front 11

what stage:a thick growth of hair over pubic area, but not on thighs; coarse, curly hair. Penis grows in length and diameter with development of glans. Testes are almost fully-grown and scrotum is darker

Back 11

stage 4

Front 12

what stage:hair spreads over medial thighs, but not yet toward umbilicus. Penis, testes, and scrotum are at the adult size and shape

Back 12

stage 5

Front 13

reduced risk of acquiring HIV infection through heterosexual contact, genital herpes, genital ulcers, and HPV. Female partners of circumcised men have a reduced risk of acquiring HPV, bacterial vaginosis, trichomoniasis, and cervical cancer. Additional benefits of male circumcision include reduced incidence of infant urinary tract infection, phimosis and paraphimosis, and penile cancer.

Back 13

medical benefits of male circumcision

Front 14

To obtain subjective data about the male genitourinary system, the examiner should ask about urinary frequency, hesitancy, urgency, and nocturia; past genitourinary history and sexual history; penis problems; scrotum or testicle problems such as lumps or bulges; and self-care behaviors including contraception.

Back 14

subjective questions to ask

Front 15

voiding 5-6 times/day

Back 15

normal frequency

Front 16

hydrated, acute viral hepatitis, and cirrhosis

Back 16

Pale yellow

Front 17

gold or concentrated with dehydration, some laxatives, and food or supplements with b-complex vitamins

Back 17

amber

Front 18

natural yellow urochrome excretion a pigment in blood. bright neon yellow with vitamin supplements

Back 18

yellow

Front 19

UTI, kidney stones

Back 19

cloudy

Front 20

dehydration, jaundice, some foods, food dyes, or laxatives, medication side effect: rifampin for meningitis, warfarin, pyridium

Back 20

orange

Front 21

blood in urine, nephritis, cystitis, cancer, following prostate surgery

Back 21

red

Front 22

with menses, some foods like beets, berries, some laxatives, kidney stones, UTI

Back 22

pink

Front 23

Kidney & liver failure, myoglobinuria

Back 23

tea

Front 24

Urine contains melanin, melanuria

Back 24

dark gray

Front 25

with dye injection, medication side effect, asparagus

Back 25

blue

Front 26

To obtain objective data, first inspect and palpate the penis, noting the condition of the skin. Be aware that the dorsal vein may be apparent. Inspect the glans, retracting the foreskin in an uncircumcised man; observe the urethral meatus; and note the pubic hair distribution.

Back 26

objective

Front 27

Inspect and palpate the scrotum noting that the left scrotal half usually is lower than the right. Inspect the posterior surface, and gently palpate each scrotal half. The contents should slide easily; also palpate each spermatic cord along its length. Note any mass or swelling.

Back 27

objective 2

Front 28

Inspect and palpate the inguinal region for a bulge (or hernia) as the man stands and as he strains down. Normally, none is present. Also palpate the inguinal lymph nodes, including the horizontal chain and the vertical chain.

Back 28

objective 3

Front 29

teaching points for TSE self exam

Back 29

T – timing – once a monthS – shower – warm water relaxes scrotal sacE – examine – check for changes, report changes immediately

Front 30

For an infant/ child, perform the testicular examination right after the abdominal examination. Penis size is usually small in infants (2-3cm) and in young boys until puberty.

Back 30

infant physical exam

Front 31

In circumcised infant the glans look smooth, with the meatus centered at the tip. In uncircumcised, the foreskin is normal tight during the first 3 months and should not be retracted. The scrotum size varies with ambient temp. But overall the infant’s scrotum looks large in relation to the penis. Normally, the testes are descended and equal in size bilaterally.

Back 31

infant physical exam 2

Front 32

circumscribed collection of serous fluid in tunica vaginalis surrounding testis. May occur following epididymitis, trauma, hernia, tumor of testis, or spontaneously in the newborn. Painless swelling, person might complain of weight and bulk in scrotum.

Back 32

Hydrocele

Front 33

nodules found on testes or epidydymides warrant...

Back 33

Ultrasound imaging