Male Genitourinary System Ch. 24

Front 1

Syphilitic Chancre

Back 1

- small, red, round, oval, superficial ulcer with a yellowish serous discharge
- begins withing 2-4 weeks of infection, usually syphilis
- can be lifted like a button between thumb and finger during palpation

Front 2

Condylomata acuminata

Back 2

- soft, pointed, fleshy papules that occur on the genitalia and can be singular or in a cauliflower lie patch
- may be gray, pale yellow, or pink
-occurs on shaft of penis, around anus or behind corona
- are caused by the human papillomavirus (HPV)

Front 3

Cryptorchidism

Back 3

- un-descended testes
- 3% to 4% at birth, one-half descend in 1st month
-30% in premature infants
- by 6 years if not descended cause spermatogenesis and infertility

Front 4

Cystitis

Back 4

- inflammation of the urinary bladder

Front 5

Epididymis

Back 5

- structure composed of coiled ducts located over the superior and posterior surface of the testes, which stores sperm

Front 6

Epispadias

Back 6

- congenital defect in which urethra opens on the dorsal (upper) side of penis instead of at the tip

Front 7

Scrotal Hernia

Back 7

- weak spot in abdominal muscle wall (usually in area of inguinal canal or femoral canal) through which a loop of bowel may protrude
- swelling and possible pain with straining
- fingers cannot get above mass
- usually due to indirect inguinal hernia

Front 8

Herpes genitalis

Back 8

- a sexually transmitted disease characterized by clusters of small painful vesicles, caused by a virus

Front 9

Hydrocele

Back 9

- cystic fluid in tunica vaginalis surrounding testis
- painless swelling
- a mass does not transilluminate
- able to get fingers above the mass (unlike hernia)
- may occur following: epididumitis, trauma, hernia, tumor of testis, or spontaneously in newborns

Front 10

Hypospadias

Back 10

- congenital defect in which the urethra opens on the ventral (under) side of the penis rather than at the tip

Front 11

Orchitis

Back 11

- acute inflammation of testis, usually associated with mumps

Front 12

Paraphimosis

Back 12

- foreskin is retracted and fixed behind glans penis
- constriction impedes circulation, so gland swell
- if untreated may compromise arterial circulation

Front 13

Peyronie's disease

Back 13

- nontender, hard plaques on the surface of penis, associated with painful bending of penis during erection

Front 14

Phimosis

Back 14

- foreskin is advanced and tightly fixed over the glans penis
- may be congenital or secondary to infection

Front 15

Prepuce

Back 15

- (foreskin) the hood or flap of skin over the glans penis that often is surgically removed after birth by circumcision

Front 16

Priapism

Back 16

- prolonged, painful erection of penis without sexual desire
rare condition that occurs with: -sickle-cell trait or disease
- leukemia
- malignancy
- local trauma
- spinal cord injuries

Front 17

Spermatic cord

Back 17

- collection of vas deferens, blood vessels, lymphatics, and nerves that ascends along the testis and through the inguinal canal into the abdomen

Front 18

Spermatocele

Back 18

- retention cyst in epididymis filled with milky fluid that contains sperm

Front 19

Testicular Torsion

Back 19

- sudden twisting of spermatic cord; surgical emergency
-excruciating pain in testicles of sudden onset
- often during sleep or following trauma
- may also have abdominal pain, nausea, and vomiting w/o fever
- red, swollen scrotum, one testis (usually left) shortened and higher
- cords feel thick, swollen, tender, cremasteric reflex is absent on side of torsion
- occurs in late childhood or early adolescence, rare after age 20
- faulty anchoring of testis on wall of scrotum allows testis to rotate medially

Front 20

Varicocele

Back 20

- dilated tortuous varicose veins in the spermatic cord

Front 21

Vas deferens

Back 21

- duct carrying sperm from the epididymis through the abdomen and then into the urethra

Front 22

Corpora cavernosa

Back 22

- the two cylindrical columns of erectile tissue of the penis located on the dorsal (upper) side

Front 23

Corpora spongiosum

Back 23

- cylindrical column of erectile tissue of the penis located on the ventral (under) side

Front 24

Glans

Back 24

- the area where the corpus spongiosum expands into a cone of erectile tissue at the distal end of the penis

Front 25

Corona

Back 25

- the shoulder where the glans joins the shaft

Front 26

Cremaster muscle

Back 26

- controls the size of the scrotum by responding to the temperature

Front 27

Ejaculatory duct

Back 27

- empties into the urethra

Front 28

Hesitancy

Back 28

- a sense of residual urine and straining during urination

Front 29

Hematuria

Back 29

- bloody urine

Front 30

Carcinoma of penis

Back 30

- red. raised warty growth or ulcer, with watery discharge, may slough and is painless
- usually on glans or inner lip of foreskin and following chronic inflammation

Front 31

Urethritis

Back 31

- infection of urethra causes painfull burning urination
- meatus edges are reddened, everted, and swollen
- purulent urethral discharge and dysuria
- urine is cloudy
- cause determined by culture
- 50% are caused by chlamydia

Front 32

Urethral Stricture

Back 32

- pinpoint, constricted opening at meatus or inside along urethra
- congenital or secondary to urethral injury
- gradual decrease in force and caliber of urine stream
- shaft feels indurated (hard) along ventral aspect at the site of stricture

Front 33

Spermatic Cord Varicocele

Back 33

- dull pain with constant pulling or dragging feeling or asymptomatic
- feels like a bag of worms
- usually on the left side
- early treatment important to prevent potential infertility when an adult