Nursing Management:Nursing Management:
Male Reproductive Male Reproductive ProblemsProblems
Chapter 55 OverviewChapter 55 Overview
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Problems of the Prostate Gland
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Fig. 55-1. Areas of the male reproductive system in which problems are likely to develop.
Benign Prostatic Hyperplasia
Etiology and Pathophysiology
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Benign Prostatic Hyperplasia
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Fig. 55-2. Benign prostatic hyperplasia. The enlarged prostate compresses the urethra.
Benign Prostatic Hyperplasia
Clinical ManifestationsComplicationsDiagnostic Studies
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Benign Prostatic Hyperplasia
Collaborative Care •Drug therapy
•5-reductase inhibitors-adrenergic receptor blockers
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Benign Prostatic Hyperplasia
Collaborative Care, continued •Minimally invasive therapy
•Transurethral microwave thermotherapy
•Transurethral needle ablation of prostate
•Laser prostatectomy•Intraprostatic urethral stents
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Benign Prostatic Hyperplasia
Collaborative Care, continued • Invasive therapy
•Transurethral resection of prostate
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Benign Prostatic Hyperplasia
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Fig. 55-3. Transurethral resection of the prostate.
Benign Prostatic Hyperplasia
Collaborative Care• Invasive therapy, continued
•Transurethral incision of prostate
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Nursing Management: Benign Prostatic Hyperplasia
Nursing AssessmentNursing DiagnosesPlanning
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Nursing Management: Benign Prostatic Hyperplasia
Nursing Implementation•Health promotion•Acute intervention
•Preoperative care•Postoperative care
•Ambulatory and home careEvaluation
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Prostate Cancer Etiology and
PathophysiologyClinical Manifestations and
Complications
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Prostate Cancer
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Fig. 55-4. Metastasis of prostate cancer to the pelvis and lumbar spine.
Prostate Cancer Diagnostic StudiesCollaborative Care•Conservative therapy•Surgical therapy
•Radical prostatectomy
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Prostate Cancer
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Fig. 55-5. Common approaches used to perform a prostatectomy. A, Retropubic approach involves a midlineabdominal incision. B, Perineal approach involves an incision between the scrotum and anus.
Prostate Cancer Collaborative Care•Surgical therapy, continued
•Nerve-sparing procedure•Cryotherapy
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Prostate Cancer Collaborative Care,
continued•Radiation therapy
•External beam radiation•Brachytherapy
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Prostate Cancer
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Fig. 55-6. A, Prostate brachytherapy. Implantation of seeds with a needle guided by ultrasound and atemplate grid. B, Radioactive seeds.
Prostate Cancer Collaborative Care, continued•Drug therapy
•Hormonal therapy•Luteinizing-hormone–releasing
hormone (LHRH) agonists and antagonists
•Androgen receptor blockers•Estrogen
•Orchiectomy•Chemotherapy
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Culturally Competent Care: Prostate Cancer
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Nursing Management: Prostate Cancer
Nursing AssessmentNursing DiagnosesPlanningNursing Implementation•Health promotion•Acute intervention•Ambulatory and home care
Evaluation
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Prostatitis Etiology and
PathophysiologyClinical Manifestations and
ComplicationsDiagnostic Studies
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Nursing and Collaborative Management: Prostatitis
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Problems of the Penis
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Congenital Problems
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Problems of Prepuce
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Fig. 55-7. A, Phimosis. Unable to retract the foreskin due to secondary lesions on the prepuce.B, Paraphimosis. Ulcer with edema from foreskin remaining contracted over the prepuce.
Problems of Erectile Mechanism
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Cancer of Penis
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Problems of the Scrotum and Testes
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Inflammatory and Infectious Problems
Skin ProblemsEpididymitis
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Inflammatory and Infectious Problems
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Fig. 55-8. Scrotal masses.
Inflammatory and Infectious Problems
Orchitis
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Congenital Problems
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Acquired Problems Hydrocele
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Acquired Problems
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Fig. 55-9. Hydrocele.
Acquired Problems SpermatoceleVaricoceleTesticular Torsion
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Testicular Cancer Etiology and
PathophysiologyClinical Manifestations and
ComplicationsDiagnostic Studies
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Nursing and Collaborative Management: Testicular
Cancer
Testicular Self-Examination
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Nursing and Collaborative Management: Testicular
Cancer
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Fig. 55-10. Testicular self-examination.
Nursing and Collaborative Management: Testicular
Cancer
Collaborative Care
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Sexual Functioning
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Vasectomy
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Fig. 55-11. Vasectomy procedure. The vas deferens is ligated or resected for the purpose of sterilization.
Erectile Dysfunction Etiology and
PathophysiologyClinical Manifestations and
ComplicationsDiagnostic Studies
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Erectile Dysfunction Collaborative Care•Oral drug therapy•Vacuum constriction device• Intraurethral devices•Penile implants•Sexual counseling
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Nursing Management: Erectile Dysfunction
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Andropause
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Table 55-12. Clinical Manifestations of Andropause.
Infertility
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