1. Medical-Surgical Nursing: Concepts & Practice
3rd edition
Chapter 39
Care of Men with Reproductive Disorders
Copyright © 2017, Elsevier Inc. All rights reserved.

2. Male Reproductive System
Structures and functions
Sperm production
Effects of aging

3. Structures of the Male Reproductive System
See Figure 39-1 on p. 923.
From Lewis SL, Heitkemper MM, Dirksen SR, Bucher L: Medical-surgical nursing: assessment and management of clinical problems, ed. 9, St. Louis, 2014, Mosby.

4. Fertility Older adult considerations Contraception
Reversible contraception
Permanent contraception (vasectomy)
Nursing management

5. Treatment Options for Erectile Dysfunction
Medications taken about 1 hour before intercourse
Complementary and alternative therapies
Sexual therapy
Penile implants
Negative pressure (vacuum constrictive devices)
See Table 39-2 on p. 929.

6. Health Screening and Assessments
Testicular self-examination
Diagnostic tests
Tests for general state of health
Serum acid phosphatase
Tumor protein marker studies

7. Disorders of the Male Reproductive System
Erectile dysfunction
Premature ejaculation
Retrograde ejaculation
Infertility
Hydrocele
Varicocele
Testicular torsion
Priapism
Peyronie’s disease

8. Scrotal Masses
See Figure 39-4 on p. 930.
From Lewis SL, Heitkemper MM, Dirksen SR, Bucher L: Medical-surgical nursing: assessment and management of clinical problems, ed. 9, St. Louis, 2014, Mosby.

9. Diagnostic Tests for the Male Reproductive System
Digital rectal examination (DRE)
Semen analysis
Testicular self-examination (TSE)
Prostate-specific antigen (PSA) level
Transrectal ultrasound
Urography
Uroflowmetry
See Table 39-1 on p. 926.

10. Diagnostic Tests for the Male Reproductive System (Cont.)
Prostate tissue analysis (biopsy)
Cystoscopy
Urethral smears
Luteinizing hormone (LH) level
Prolactin level
Follicle-stimulating hormone (FSH) level
Testosterone level
See Table 39-1 on p. 923.

11. Benign Prostatic Hyperplasia
Etiology and pathophysiology
Signs and symptoms
Diagnosis
DRE
Pressure flow studies
Postvoiding ultrasound or catheterization
Treatment

12. Treatment of Benign Prostatic Hyperplasia
Drug therapy
Herbal therapy
Surgery
Nursing management
Preoperative care
Postoperative care

13. Surgical Interventions for Male Urogenital Problems
Transurethral microwave thermotherapy (TUMT)
Transurethral needle ablation (TUNA)
High-intensity focused ultrasound (HIFU)
Open prostatectomy
Suprapubic prostatectomy
Retropubic prostatectomy
Perineal prostatectomy
See Table 39-3 on p. 933.

14. Surgical Interventions for Male Urogenital Problems (Cont.)
Transurethral resection of the prostate (TURP)
Transurethral incision of the prostate (TUIP)
Laser prostatectomy
Transurethral electrovaporization of the prostate (TUVP)
Transurethral photoselective vaporization of the prostate (PVP)
Urethral stent
Laparoscopic radical prostatectomy
See Table 39-3 on p. 933.

15. Two Approaches to Prostatectomy
See Figure 39-6 on p. 932.
From Lewis SL, Heitkemper MM, Dirksen SR, Bucher L: Medical-surgical nursing: assessment and management of clinical problems, ed. 9, St. Louis, 2014, Mosby.

16. Two Approaches to Prostatectomy (Cont.)
See Figure 39-6 on p. 932.
From Lewis SL, Heitkemper MM, Dirksen SR, Bucher L: Medical-surgical nursing: assessment and management of clinical problems, ed. 9, St. Louis, 2014, Mosby.

17. Continuous Bladder Irrigation (CBI) System
See Figure 39-7 on p. 934.
From Black JM, Hawks JH: Medical-surgical nursing: clinical management for positive outcomes, ed. 8, Philadelphia, 2009, Saunders.

18. Inflammations and Infections of the Male Reproductive Tract
Epididymitis
Orchitis
Prostatitis
Type I: acute bacterial prostatitis
Type II: chronic bacterial prostatitis
Type III: nonbacterial prostatitis or chronic pelvic pain syndrome

19. Cancer of the Male Reproductive Tract
Cancer of the penis
Testicular cancer
Prostate cancer
Clinical symptoms
PSA screening test
Treatment and nursing care