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254 Cards in this Set

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With aging, the glandular tissue units in the prostate go through ________ (increase in # of cells)
Hyperplasia
Since tissue undergo hyperplasia, it results in prostatic _________ (enlargement)
hYPERTROPHY
The correct term for increasing # of cells that enlarge
Benign Prostate Hyperplasia/Hypertrophy
Hyperplasia describes the ______ process
patholgic
When the prostate gland enlarges it extends _____ into the bladder and ____ narrowing the prostatic urethreal channel
Upward and Inward
When the prostate enlarges, it ______ urine outflow by encroaching on the bladder opening
Obstruct/blocks
The bladder may become hyperirritable which causes _____ and ______
Urgency and frequency
Since the ______ in the bladder wall hypertrophy , they may develop cellules and diverticula
Muscles
Hydroureter and hydronephorsis

Complications of prostate enlargement
Dilation of the ureters and kidneys
S&S of obstruction of bladder neck caused by BPH
Retention
Incomplete bladder emptying
Overflow Urinary Incontinece
Urinary stasis can result in a __________
UTI
Cause of BPH is ________
Unknown
BPH affects men over ____ years of age
40
LUTS stands for
Lower urinary tract symptoms
S&S of _____ include:
Nocturia
Frequency
Hesistancy
Intermittency
Reduced force and size of stream
Incomplete bladder feeling
Postvoid dribbling
LUTS
If frequency and nocturia are not accompained symptoms, an _____ is considered the cause
Infection
Hematuria
Blood in urine
Before doing an assessment, always have the male _____ before
Void
If the client has a sense of urgency when pressure is applied to the bladder are the bladder may be _______
Distended
The patient may have the urge to ____ as the prostate is palpated
Urinate
When performing a prostate exam, you should also do a ______ becuase the prostate is close to the rectal wall
DRE
Position for exam is the
Side lying Fetal position
____ presents as a uniform, elastic, nontender enlargement
BPH
______ uually presents as a stony-hard nodule
Cancer of the prostate
You milk the prostate after exam to r/o __________
prostitis
Blood work consists of these 3 tests for BPH
CBC
BUN
PSA
A CBC evaluates any evidence of _______ (elevated WBC) or _____(decreased) RBC
Infection
Anemia
BUN is done to evaluate _____ function
Renal
PSA is a measurement if prostate ____ is suspected
Cancer
KUB xrays are of the
Kidneys, ureters and bladder
IV Urography is useful in studying both the structure and the function of the _____ tract
Urinary
Flowmetry
Flow rate analysis
Flow rate analysis is the way of assessing the activity of the bladdder and the outlet during the ______ phase of micturibition
Emptying
A cystourethroscope exam is used to study the presence and effect of bladder neck _____
Obstruction
Residual urine may be determined by a bladder scan immediately after the client ______
Voids
Because the pt always voids before cystourethroscopy, _____ urine can be measured at that time.
Residual
In cases where clients are not yet bothered by the symptoms of BPH, "______ _____" may be apprioriate
Watchful waiting
A man will be examined every ____ to determine whether the BPH is causing urinary difficulties
year
Finasteride (Proscar) is prescribed for someone with BPH becuase it shrinks the prostate gland and ____ urine flow
Improves
Finasteride _____ the level of Dishydrotestosterone, which is a major cause of prostate growth
Lowers
Finasteride may need to be taken for up to ____ months before improvement may be noted
6
Side effects of Finasteride include:
Erectal Dysfunction
Decreased Libido
These drugs are examples of _______-_______ agents:
Terazosin (Hytrin)
Doxazosin (Cardura)
Tamsulosin (Flomax)
Alpha Blocking
When these meds are given. the prostate gland constricts, thereby reducing urethrual pressure and improving urine flow.
Alpha Blocking
Saw Palmetto extrct and lycopene have been used to manage _____
BPH
Non-surgical measure that reduce _____ symptoms include:
Prostatic Massage
Frequent Sexual Intercourse
Masturbation
Obstructive
These measures are aimed at preventing _________ of the bladder, which results in loss of muscle tone:
Avoid drinking large amounts of fluid in short time
Avoid drinking alcohol, diuretics and caffeine
Void as soon as urge felt
Overdistension
These drugs cause _____ ______:
AntiCholinergics
Antihistamines
Decongestants
Urinary Retention
Acuter urinary retention
Chronic UTI
Hematuria
Hydronephrosis
Bladder neck obstruction symptoms that bother client

These are when ______ intervention is needed
SX
Goal of surgical intervention are to relieve the sypmtoms of bladder neck obstruction and to _____ quality of life
Improve
After prostate sx, all pts will have an indwelling cath for at least ____ day
1
The client may have a CBI and traction on the cath, but this is unknown till after cl returns from _____
PACU
____ blood clots and _____ debris may pass while the catheter is in place and immediately after removed
Small
Tissue
A transurethral thermotherapy uses ______ thermotheraphy
Microwave
Tansurethral needle ablation B uses low level _____ frequency energy
TUNA procedure
Radio
Visual lasrer ablation uses _____ energy
Lasar
Electrovaporization use electro_____ of the prostate
Electrocautery
These past 4 procedures are minimially invasive and are used because there is less _____ after sx and the client can be discharged within 24 hours w/retention cath
Bleeding
The patient needs to know that delayed _____ and urinary rentention may occur days to weeks after the electrovaporization procedure
Hemoturia
The TURP procedure is a closed procedure while an open proceudre will be required for Prostate _____
removal
Surgeon inserts a resectoscope through the urethra and the enlarges portion of the prostate gland is resected in small pieces
TURP prcedure
A TURP is done when the area of major enlargement is in the ____ lobe of the prostate that directly surrounds the urethra and when the amount of tissue to be removed is small
Medial
TURP is safer for pt who is at high risk for ____SX becuase a surgical incision is not used
Open
Disadvantage of TURP is only a small pieces of the gland is removed leaving remaining leaving prostate tissue to grow and cause urinary _________ cause need for additional TURPS
Obstruction
There is a risk for _____ trauma from the resectoscope which could result in strictures
Urethral
A __________ is used when the prostate is larger than can be removed transurethrally and if the client has any other bladder problems that can be treated at the same time.
Suprapubic Prostatectomy
For a suprapubic prostatectomy, the surgeon approaches the prostate gland through an incision in the urinary _____ and uses the finger to remove the BPH tissue
Bladder
The ability to treat bladder ______ is the major advantage of suprapubic prostatectomy
problems
These are _______ of SPP:
Abdominal incision and bladder incision necessary
Has suprapubic tube in place after sx
Increased risk for UTI, incontinece, bladder spasms and hemorrhage
More Painful
Longer recovery than TURP
Disadvantages
A ________ prostatectomy is when the prostate is too large to resected via transurethrual aprroach but no co-existing bladder problems have been identified.
Retropubic
In the retro pubic prstatectomy the surgeon removes the BPH tissue directly through an ______ incision
Abdominal
A _________ prostatectomy is performed to:
remove enlarged prostate w/ stones
treatment of prostatic abscess that have not responded to conservative treatment
Repair complication that occur during other sx
Treatment of pts who are poor surgical risks
Perineal
In a perineal prostatectomy the surgeon makes an incision between the scrotum and _____ and removes the BPH tissue
Rectum
A perineal prostatectomy provides _____ acess to the prostate gland
Direct
Major disadvantage of this procedure is the loss of _____ potency resulting from damage to the pudendal nerve
Sexual
Pts who have PVD or pulmonary problems cannot tolerate the _______ position and are not candiates for a perineal prostatectomy
Lithtomy
Major disadvantages to a _______ prostatectomy approach is:
greater risk for infection
damage to rectum and anall schpinter
Urinary incontinece
Perineal
After a _____ the surgeon inserts a 3-way cath w/30-45ml retention ballon through the urethra into the bladder.
TURP
_____ is often applied to the cath by pulling it taut and taping it to the clients abdomen or thigh
Traction
The patient needs to keep there ____ straight when they have 3 way cath
Leg
After CBI and cath is removed, instruct client to increase fluid intake to at least _____-____ml daily
2000-2500
A CBI is usually discontinued after ____ hours
24
Burning on urination, frequency, dribbling and leakage is ______ after a TURP
Normal
Urinary drainage that is bright red or ketchup like with numerous clots
Arterial Bleeding
f the patient has ______ bleeding, increase the CBI and notify surgeon immediately
Arterial
Aminocaproic acid (Amicar) is adminstered to _____ bleeding
Control
Urine output is burgundy with or without any change in vital signs.
Venous
Traction may need to be applied for a few hours if _____ bleeding is noted
Venous
Traction on the catheter is quite uncomfortable and it increases the risk for bladder _____
spasms
Analgesics or antispasmatics such as:
Dicyclomine Hydrochloride (Bentyl, Antispas, Formulex, Lomine)
Oxybutin (Ditropan)
Bellasonna and Opium Supp.
are usually prescribed to decrease painful _______ _____
Bladder Spasms
In the retro pubic prstatectomy the surgeon removes the BPH tissue directly through an ______ incision
Abdominal
A _________ prostatectomy is performed to:
remove enlarged prostate w/ stones
treatment of prostatic abscess that have not responded to conservative treatment
Repair complication that occur during other sx
Treatment of pts who are poor surgical risks
Perineal
In a perineal prostatectomy the surgeon makes an incision between the scrotum and _____ and removes the BPH tissue
Rectum
A perineal prostatectomy provides _____ acess to the prostate gland
Direct
Major disadvantage of this procedure is the loss of _____ potency resulting from damage to the pudendal nerve
Sexual
Always monitor the patients _____ for anemia as a result of blood loss
H&H
Pt may be discharged after a suprapubic prostatectomy with a suprapubic ______ in place
Suprapubic
When the pt consistenly empties the bladder and the residual urine in the bladder is ___ml or less, the suprapubic cath is removed
75
Pt after suprapubic prostatectomy is at risk for bladder _______
spasms
Check incision dressing ___ per shift and change it frequently due to dressing becoming saturated with urine until incision heals
twice
There should be no _____ damage after a retropubic prostatectomy because enterance is not through there
Bladder
Lymph Nodes
Bone Marrow
Bones of pelvis, sacrum, and l-spine
***SLOW_GROWING***
The most common sites for metastis of prostate cancer
Advancing ____ of the pt increases risk for prostate cancer
Age
1 in 6 men after the ages of ____ and ____
60-79
Cancer is usually arises in the perihphery of the ____, while BPH occurs in the center
Gland
Blacks need to get screenings for Pros. Cx starting at age ____
45
First symptoms to prostate cancer are the same as the symptoms of ____
BPH
More advanced stages of prostate cancer include ____ pain, urinary hesitency and back pain
Bone
Beginning at age ___ men should have a DRE and PSA
50
Normal PSA level is less than ___ng/ml
4ng/mL
Increased ____ are signs of increased prostatic tissues, prostatic infacrtion, prostatitis...while levels associated with prostate cancer are much higher
PSA
The ____ and ____ are always used in conjunction with one another
PSA and DRE
The PSA is ___ elevated in healthy men with cancer in other organs
not
An increase in the PSA level several weeks after sx indicates the disease has _____
reoccured
Urologist inserts a small probe into rectum and obtains an ultrasonogram of the prostate
Transrectal Ultrasound
Possible complications of a _____ include:
Hematuria w/ clots
S&S of infection
Perineal Pain
Biopsy
_____ are usually prescribed after a biopsy
Antibotics
The pt should avoid strenous activity and drink plenty of fluids especially in the first ____ hours after the procedure
24
After Dx of prostate cancer, the pt undergoes radiographic and blood studies to ascertin the ____ of the disease including:
Ct or MRI
Bone Scan
Serum Acid Phosphatase elevation
Serum alkaline phosphatase elevation
Extent
Urodynamic Studies are important for BPH because it checks for _____ urine
Residual
During the watchful waiting period, pts are monitored at regular intervals through ___ and ___ testing
DRE and PSA
_____ treatment options for pts w/ prostate cx include sx, radiation therapy and drug therapy
Active
When sx management is needed for someone with prostate cx, a ____ prostatectomy is performed
Radical
Undergoing a radical perineal prostatectomy may cause _________ after sx. Urinary ________ is another possible consequence
Erectile Dysfunction

Incontience
_____ exercises are very important, and should be done before and after sx
Kegel
_____ cleansing is standard before procedure
Bowel
The patient can have a clear liquid diet the day _____ sx, and NPO after midnight.
before
Removal of prostate gland, prostatic capsule, cuff at the bladder neck, seminal vesciles and regional lymph nodes
Radical Prostatectomy
The patient is ____ after this procedure and it causes retrograde ejaculations (goes up into bladder)
Sterile
Pt may expierence temporary ED, but normal function usually returns in ___ to ___ months
3-12
After a radical prostatectomy, the patient is to remain on bedrest on the ___ of sx, but help the pt get out of bed and ambulate for short distances by ____ post-op day
Day
First
A ____ is used for pain control throught the 2nd post-op day
PCA
CLient may have a NGT, and is usually discontinued on 2nd day after sc. Then the client is permitted ____ liquids. Solid foods are introduced as tolerated when bowel sounds return
Clear
If scrotal or penile swelling occurs, ______ scrotum and penis and apply ice to area 20 mins on 20 mins off for 1st 24-48 hours
Elevate
A surgical intervention for urinary incontinece is surgical placement of an artificial urinary ________
sphincter
An artifical urinary sphincter is a fluid filled system with a silicone cuff that surrounds the ____ and functions as a urinary sphincter. A pump is placed in the scrotum, and when squeezed, fluid leaves the cuff and flows into the reservoir allowing client to empty bladder
Urethra
Minimally invasive procedure that can be an alternate to radical prostatectomy
Cryoablation
Cryoablation can only be done to someone whose cancer is _____ to the prostate gland
Confined
When doing Cryoablation, liquid nitrogen ____ the prostate gland and results in cell death, and the dead cells are then absorbed by the body
Freezes
Removal of both testes
Bilateral Orchiectomy
Intent of doing a bilateral orchiectomy is to arrest the cancer spread by removing ________
testosterone
External beam radiation therapy used for treamtnet of prostate cx as:
An alternative curative treatment to sx for locally contained tumors
As adjunct to radial prostatectomy when sx margins or regional lymph nodes show cx cells after sx
For palliation of pts symptoms
Radiation Therapy
Prostate cancer is ____ dependent, so those with extensive tumors or metatasis are usually managed by androgen deprivation
Hormonal
______ such as DES inhibit the release of luteinizing hormone from the pituaritary gland
Estrogens
Leuprolide Acetate (_____) is a GnRH agonist which reduces serum testerone levels w/out any estrogenic side effects
Lupron
Flutamide (Eulexin, Euflex) are an ____androgen-blocking agent which inhibits tumor progression by blocking the uptake of testicular and adrenal androgens at the prostate tumor site.
Oral
Goserelin Acetate (Aoladex) is a potent GnRh agonist analgue which may be prescribed for palliation of ______ prostatic carcinoma
advanced
Zoladex is an alternative treatment when _________ or estrogen adminstration is not acceptable or not indictated for the client
Orchiectomy
________ is used for clients who fail to respond to hormonal manipulation
Chemotherapy
Agents used in _____ therapy are either antibodies that "target" cellular element of the cancer cell or "antisense" drugs that work at the gene level
Targeted
Bortezomib (Velcade) is a targeted therapy which is a protesome _______
inhibitor
No lifting more than 15pds for up to ___ weeks post-radial prostectomy. Running or jumping should be avoid for at least ___ weeks, then gradually introduced
6
12
After RP sx instruct pt not to strain when _____, and make sure a stool softener is prescribed. Encourage increased fluids
Defecate
Pt can shower rather than soak in a bath for ___ to ___ weeks post RP
2-3 weeks
After RP, PSA and blood tests are taken ___ weeks after sx, then every 4-6 months
6 weeks
The pt needs to gently wash the first ___ inches of the cath starting at the penis and washing outward with mild soap and water and dry it well
6 inches
The drainage bag needs to be cleaned every _____
week
clean the drainage back with one part vinager 2 parts waters through the ____ and bag. Rinse well and allow to dry
Tubing
The cath must be in for at least ___ weeks post sx
3 weeks
Chemotherapy does not ____ the cancer, it prolongs the life
Cure
2 classes of ____:
Organic
Functional
ED
_____ ED is the gradual deterioriation of function
Organic
_______ of organic deteroation include:
Pelvic FX
Prostatisis
Sx procedures
Lspine injuries
Vascular Dx
Smoking, drug and alcohol
Causes
Organic ED causes dimishing ______ and a decrease in frequency of erections
Firmness
If pt has episodes of ED it is usually _______ cause
Functional (psychological)
Men with functional ED have normal nighttime and morning _______
Erections
Onset of functional ED is sudden and preceded by a period of high ______
Stress
If a pt has functional ED, they should be sent to a sex _______
Therapist
Methods of treatment for ED include:
Oral Drugs
Vacuum Devices
Intracorporal ________
Intraurethral applications
Prosthese`
Injections
Druges for ED work by causing ______ of smooth muscles in the corpora cavernosa so blood flow to the penis is increased.
Relaxed
Penile Tumescence
Swelling
For Viagra or Levitra to work, sexual ___________is needed w/in a half hour to 1 hour to promote erection
Stimulation
W/ Cialis (Tadalafil), erection can be stimulated over a ______ period
longer
If more than ___ pill is taken, leg and back cramps, nausea and vomiting may occur.
1
Men who take nitrates should not take drug therapy for ED because the vasodilation effects cause a profound __________ and reduce blood flow to vital organs
Hypotension
If using a vaccum device, the ____ should be removed after 1 hour or tissue damage will occur
Ring
Intracorporal injections are injected into the side of the penis using a ___ ot ___ gauge needle.
27-30
Priapism
prolonged erection
Side effects of _______ injections are:
Priapism
Penile Scarring
Fibrosis
Bleeding
Brusing, Pain
Infection
Intracorpal
An example of an Intraurethral application is Prostadil (Musel) which is a self-adminstred _________ that is placed into the urethra with an applicater
Suppository
Intraurethral applications work in about 10 minutes and the erection last for ___ to ___ minutes
30-60
If a pt has discomfort after giving an intraurethral application, the man should ____ the penis between the hands
Rub
Most common prostheses for a man is the 3-piece _______ device which a reservoir is placed into the scrotum and tubes carry the fluid to the inflatable pieces of the penis
Inflatable
Testicular cancer is most common maligancy in men ___ to ____ years of age
15-35
If a man has testicular cx, there is a risk for ______ dysfunction:
Oliospermia, azoospermia
Sexual
The man needs to do sperm _____ asap before treatment of testicular cancer
Storage
Sx management for testicular cancer includes:
Unilateral __________
Radical retropertioneal lymph node dissection
Orchiectomy
Non-sx management of testicular cancer include:
_______
_______
Stem Cell Transplantation
Chemo
Radiation
Gynecomastia
Breast enlargement in men
Cryptorchidism
Undescended testes
Common tumor markers for testicular cx are _____ and ____
AFP and hCG
Elevated levels of hCG and AFP should ____ after sx. If the remain the same this is evidence for metastatic dx even if x-rays or scans do not show tumor prescence
Resolve
Oligospermia
Low sperm count
Azoospermia
abscene of living sperm
Oligospermia and azoospermia is a problem thought to be related to higher testicular ______ created by cancer cell metabolism
Tempuratures
Radical retroperitoneal lymph node dissections are long operations lasting from ___ to ____ hours
6-12
Sperm count after radiation therapy returns to pretreatment levels within ___-____ months after radiation treatment is completed.
24-30
Sutures are removed ____ to ____ days after sx at drs office
****NO DISCHARGE DRESSING REQUIRED!***
7-10
Pt can resume most of his usual activities w/in ____ week after discharge, EXCEPT FOR lifting heavy objects or stair climbing.
1 week
Routine follow up for for pts after testicular sx is Urinary and serum levels, CT scan and MRI for ____ years
3
Fluid around the testicle. A cystic mass filled with straw colored fluid around the testes
Hydrocele
Self-contained cystic mass on epididymis, which contains sperm. The cause of this is trauma, infection, congenital abnormalities...or nothing at all
Spermatocele
Dilated Veins behind and above the testes. It may be unilateral or bilateral and can cause infertility
Varicocele
Twisted spermatic cord and blood vessels. Often occurs during puberty and ***PAIN IS NOT RELEVED W/ ELEVATION!!***
Torsion
For a hyrdocele, No _________ is necessary unles swelling becomes large and uncomfortable or begins to impair blood flow to the testes
Treatment
Ahydrocele can be drained via a _____ or it can be removed surgically
Needle
Scrotal Support keeps the scrotal dressing in place and keeps the scrotum _____, which helps prevent edema
Elevated
The scrotum can stay around for several _______
weeks
After hydrocele sx, pt is to stay off his feet for ___ to ____ days and to limit physical activity for a week
3-5
If a spermatocele becomes large enough to cause discomfort, a ________________ is performed
Spermatocelectomy
Varicocele are usually found when a man does the ______ manever
Valsalva
The varicocele feels "wormlike" when ________
palpated
Varicoceles can cause infertility beause they increase scrotal _______ from the venous stasis near the testis, altering spermatogenesis
Tempurature
Varicocelectomy
Sx removal of a varicocele
After a varicocelectomy, a pt needs to promote drainage by placing a rolled _____ under the scrotum while client is in bed, and apply ice as needed.
Towel
After having a varicocelectomy, you can have sex within a _____
week
Scrotal Torsion is a medical ________ and needs to be taken care of within 24 hours
EMERGENCY
S&S of scrotal _______ include:
nausea and vomiting
red, swollen testicular burning
abdominal pain
Torsion
Scrotal torsion usually happens to _____ men due to increasing age causing adhesions to the walls of the scrotum
Younger
After sx fixation of S. Torsion, the patient will need to wear scrotal support for ___ weeks
3
A _______ needs to be done to make sure that there is an abscene of blood flow through the twisted testicle. If not, epidymitis may be the cause
Doppler
Orchidopexy
Sx placement of testicle into scrotum
Penile Cancer occurs on the ____ or glans and when the cancer is confined to the skin of the penis, it is called carcinoma in situ.
Foreskin
Penile Cancer presents a a painless, _____ or reddened _______ on the glans under the foreskin.
Wart
Lesion
Penectomy
partial or total removal of the penis
HPV, HIV, Phimosis, non-circumsized men all have an ____ risk for penile cancer
Increased
Education for penile cancer is how to ____ the penis correctly
clean
1st symptoms of _____ cancer are:
Changes in color of skin
Thickening of skin
Penile
If a pt gets a total penectomy, they will have a urinary diversion, and they can no longer _____ standing up...no sex either
Void
Inflammation of the testes from trauma or infection such as TB, syphillis or mumps.
Orchitis
Scrotal Pain
Dysuria
Edema
Pain with ejulation
Heavy feeling in testes
Discharge
These are all symptoms of
Orchitis
Management for Orchitis includes:
Bed Rest
Elevation
Ice
Medications (_______ and ________)
Analgesics and Antibotics
Inflammation of the epididymis resulting for infection (bacterial or sexual transmitted) or trauma.
Epididymitis
Pts with epididymitis have pain along the inguinal canal and vas deferens and also pain and _____ in scrotum and groin
Swelling
Most common cause of epididymitis is a _________ infection!!!
bacterial
Management of epididymitis is _____ elevated onn towels which prevents traction of cord
Scrotum
What medications help with epididymitis?
Antibotics and NSAIDS
In men younger than 35 years of age, #1 reason for epididymitis is ________
Chlyamdia
the pt needs to be educated on the importance of taking barbiturate ______ medications for several nights post-op penile sx, to suppress the REM phase of sleep so that normal nocturnal erections do not occur
Sleeping
a pronlonged erection which is uncontrolled, painful and without sexual desire
Priapism
Thrombosis of veins
Leukemia
Sickle Cell
Drugs
Diabetes
Maligancies
All can cause ________
Priapism
Priapism is an urologic ___________ because the circulation to the penis may be comprimsied and the goal may not be able to void with an erect penis
Emergency
________ measures for priapism include:
Prostatic massage
Sedation
Bed Rest
****Demerol and Warm enemas may also be given to increase the outflow of the trapped blood***
Conservative
If treatment is not received within ____ hours for priapism, ischemia, gangrene, permanent erectal dysfunction may occur
24
Breast Cancer in men are found as hard, non-_______ masses
painful
75% of people dx w/ breast cancer have _____ discharge
Nipple
Gynecomastia is a condition where a man grows female like breasts, and it is commonly caused from ______ Cancer
Lung
Prepuce is constricted and cannot be retracted over the glans and the prepuce remains down, around the tip of the penis
Phimosis
Prepuce has not returned to normal position after being retracted and it forms a constricting band around the glans
Paraphimosis
Men that get these disorders usually have one of these things:
Only _________ males!!!!!!!
Infection
Vigouris Sexual Intercourse
Piercing
Foreskin not commoning back
Uncircumsized
Paraphimosis is a _________ requiring immediate treatment due to the blood flow being impeeded possibly causing tissue death.
Emergency
Phimosis is corrected by ________
circumsism
If a client has a dressing, instruct him to ____ in a warm bath that evening to allow dressing to loosen.
Soak
After circumsicision, you can resume normal activity after ____ week, and sexual intercourse may be resumed after ___ to ___ weeks
1 week
1-2 weeks