Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Chapter 7 Male Reproductive System

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Chapter 7 Lesson

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-3 Objectives  Identify organs and structures of the male reproductive system.  Define and spell the word parts related to the male reproductive system.  Define, pronounce and spell disease and disorder terms related to the male reproductive system.  Define, pronounce and spell surgical terms related to the male reproductive system.

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-4 Male Reproductive System Function  produce, sustain, and transport sperm, the male reproductive cell, and to secrete the hormone testosterone.

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-5 Male Reproductive Organs

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-6 Male Reproductive System  testis, or testicle: primary male sex organs, paired, oval-shaped, and enclosed in a sac called the scrotum. The testes produce spermatozoa (sperm cells) and the hormone testosterone.  sperm (spermatozoon): the microscopic male germ cell, which, when united with the ovum, produces a zygote (fertilized egg) that with subsequent development becomes an embryo.  testosterone: the principle male sex hormone. Its chief function is to stimulate the development of the male reproductive organs and secondary sex characteristics such as facial hair.  seminiferous tubules: up to 900 coiled tubes within the testes in which spermatogenesis occurs  epididymis: a coiled duct (6-m) tube atop each of the testes which provides for storage, transit and maturation of spermatozoa, continues with the vas deferens.

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-7 Male Reproductive System (con’t)  vas deferens, ductus deferens, or seminal duct: duct carrying the sperm from the epididymis to the urethra. (The urethra also connects with the urinary bladder and carries urine outside the body. A circular muscle constricts during intercourse to prevent urination.)  seminal vesicles: two main glands located at the base of the bladder that open into the vas deferens. The glands secrete a thick fluid, which forms part of the semen.  prostate gland: encircles the upper end of the urethra. The prostate gland secretes a fluid that aids in the movement of the sperm and ejaculation.

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-8 Male Reproductive System (con’t)  scrotum: sac suspended on both sides of and just behind the penis. The testes are enclosed in the scrotum  penis: male organ of urination and copulation (sexual intercourse)  glans penis: enlarged tip on the end of the penis  prepuce: fold of skin covering the glans penis in uncircumcised males (foreskin of the penis)  semen: composed of sperm, seminal fluids, and other secretions  genitalia (genitals): reproductive organs (male or female)

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-9 Spermatozoon or sperm

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-10 Combining Forms for the Male Reproductive System  balan/o  epididym/o  orchid/o, orchi/o, orch/o, test/o  prostat/o  vas/o  vesicul/o

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-11 Combining Forms Commonly Used with Male Reproductive System Terms  andr/o  sperm/o, spermat/o

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-12 Suffix  -ism

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-13 Exercise Fig A

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-14 Clicker Question Ochid/o, orchi/o, orch/o and test/o are all combining forms for testicle. a) T b) F

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-15 Disease and Disorder Terms Built from Word Parts  anorchism  balanitis  balanorrhea  benign prostatic hyperplasia (BPH)  cryptorchidism  epididymitis  orchiepididymitis  orchitis, orchiditis, testis  prostatitis  prostatocystitis  prostatolith  prostatorrhea  prostatovesiculitis

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-16 Benign Prostatic Hyperplasia

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-17 Disease and Disorder Terms Not Built from Word Parts  erectile dysfunction  hydrocele  phimosis  priapism  prostate cancer  testicular carcinoma  testicular torsion  varicocele

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-18 Varicocele

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-19 Clicker Question Which of the following means discharge from the prostate gland? a) phimosis b) hydrocele c) prostatorrhea d) prostatitis

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-20 Surgical Terms Built from Word Parts  balanoplasty  epididymectomy  orchidectomy, orchiectomy  orchidopexy, orchiopexy  orchidotomy, orchiotomy  orchioplasty  prostatectomy  prostatocystotomy  prostatolithotomy  prostatovesiculectomy  vasectomy  vasovasostomy  vesiculectomy

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-21 Vasectomy 1. Incision is made into the covering of the vas. 2. Vas is exposed. 3. Segment of vas is excised. 4. Vas is replaced and skin is sutured.

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-22 Surgical Terms Not Built from Word Parts  circumcision  hydrocelectomy  suprapubic prostatectomy  transurethral incision of the prostate gland (TURP)

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-23 Suprapubic Prostatectomy Large Incision Surgery

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-24 Laparoscopic Prostatectomy

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-25 Transurethral Resection

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-26 Clicker Question Which of the following is the surgical removal of the forskin of the penis? a) vasectomy b) vesiculectomy c) circumcision d) hydrocelectomy

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Chapter 7 Lesson 7.2

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-28 Objectives  Define, pronounce and spell diagnostic terms related to the male reproductive system  Define, pronounce and spell complementary terms related to the male reproductive system.  Interpret the meaning of abbreviations related to the male reproductive system.  Interpret, read and comprehend medical language in simulated medical statements and documents.

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-29 Diagnostic Terms Not Built from Word Parts  Diagnostic imaging  transrectal ultrasound  Laboratory  prostate-specific antigen (PSA)  Other  digital rectal examination (DRE)

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-30 Complementary Terms Built from Word Parts  andropathy  aspermia  oligospermia  spermatolysis

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-31 Complementary Terms Not Built from Word Parts  acquired immunodeficiency syndrome (AIDS)  artificial insemination  chlamydia  coitus  condom  ejaculation  genital herpes  gonads  gonorrhea

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-32 Complementary Terms Not Built from Word Parts (cont’d.)  heterosexual  homosexual  human immunodeficiency virus (HIV)  human papillomavirus  orgasm  prosthesis  puberty  sexually transmitted disease (STD)  sterilization  syphilis  trichomoniasis

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-33 List of Male and Female Sexually Transmitted Diseases  acquired immunodeficiency syndrome  human immunodeficiency virus infections  syphilis  genital herpes  venereal warts (human papilloma virus)  gonorrhea  chlamydia  trichomoniasis  cytomegalovirus infections

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-34 Abbreviations  AIDS  BPH  DRE  ED  HIV  HPV  PSA  RP  STD  TUIP  TUMT  TURP

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-35 Clicker Question Which of the following is an STD? a) orgasm b) digital rectal exam c) coitus d) chlamydia

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.7-36 Interact with Medical Records CHIEF COMPLAINT: Severe lower abdominal pain and the inability to void for the past 12 hours. PRESENT ILLNESS: Andrew Nguyen is a 75-year-old Asian-American man who came into the emergency department at 3:00 am stating that he was in great pain and could not urinate. He had not been seen by a physician for several years but claimed to be in good health except for “a little high blood pressure.” The patient reports urinary frequency, nocturia x2, hesitancy, intermittency, and diminished force and caliber of the urinary stream. He also has postvoid dribbling and the sensation of not having completely emptied the bladder. Earlier today, he had hematuria at the end of urination. MEDICATION ALLERGIES: None CURRENT MEDICATIONS: Benadryl 25 mg. at bedtime. PHYSICAL EXAM: Temperature 98.6ºF. Blood pressure 140/90. Pulse 98. Respirations 24. Palpation of the abdomen shows a suprapubic mass approximately three fingerbreadths below the umbilicus, dull to percussion and slightly tender. IMPRESSION: Urinary bladder distention caused by urinary outlet obstruction, probably from benign prostatic hyperplasia. PLAN: Indwelling Foley catheter for relief of urinary obstruction. Urology consult.