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Nursing Management: Male Reproductive Problems Chapter 55 Overview Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
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Problems of the Prostate Gland Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 2 Fig. 55-1. Areas of the male reproductive system in which problems are likely to develop.
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Benign Prostatic Hyperplasia Etiology and Pathophysiology Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 3
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Benign Prostatic Hyperplasia Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 4 Fig. 55-2. Benign prostatic hyperplasia. The enlarged prostate compresses the urethra.
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Benign Prostatic Hyperplasia Clinical Manifestations Complications Diagnostic Studies Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 5
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Benign Prostatic Hyperplasia Collaborative Care Drug therapy 5 -reductase inhibitors -adrenergic receptor blockers Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 6
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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 Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 7
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Benign Prostatic Hyperplasia Collaborative Care, continued Invasive therapy Transurethral resection of prostate Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 8
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Benign Prostatic Hyperplasia Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 9 Fig. 55-3. Transurethral resection of the prostate.
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Benign Prostatic Hyperplasia Collaborative Care Invasive therapy, continued Transurethral incision of prostate Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 10
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Nursing Management: Benign Prostatic Hyperplasia Nursing Assessment Nursing Diagnoses Planning Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 11
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Nursing Management: Benign Prostatic Hyperplasia Nursing Implementation Health promotion Acute intervention Preoperative care Postoperative care Ambulatory and home care Evaluation Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 12
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Prostate Cancer Etiology and Pathophysiology Clinical Manifestations and Complications Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 13
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Prostate Cancer Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 14 Fig. 55-4. Metastasis of prostate cancer to the pelvis and lumbar spine.
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Prostate Cancer Diagnostic Studies Collaborative Care Conservative therapy Surgical therapy Radical prostatectomy Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 15
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Prostate Cancer Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 16 Fig. 55-5. Common approaches used to perform a prostatectomy. A, Retropubic approach involves a midline abdominal incision. B, Perineal approach involves an incision between the scrotum and anus.
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Prostate Cancer Collaborative Care Surgical therapy, continued Nerve-sparing procedure Cryotherapy Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 17
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Prostate Cancer Collaborative Care, continued Radiation therapy External beam radiation Brachytherapy Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 18
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Prostate Cancer Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 19 Fig. 55-6. A, Prostate brachytherapy. Implantation of seeds with a needle guided by ultrasound and a template grid. B, Radioactive seeds.
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Prostate Cancer Collaborative Care, continued Drug therapy Hormonal therapy Luteinizing-hormone–releasing hormone (LHRH) agonists and antagonists Androgen receptor blockers Estrogen Orchiectomy Chemotherapy Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 20
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Culturally Competent Care: Prostate Cancer Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 21
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Nursing Management: Prostate Cancer Nursing Assessment Nursing Diagnoses Planning Nursing Implementation Health promotion Acute intervention Ambulatory and home care Evaluation Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 22
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Prostatitis Etiology and Pathophysiology Clinical Manifestations and Complications Diagnostic Studies Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 23
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Nursing and Collaborative Management: Prostatitis Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 24
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Problems of the Penis Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 25
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Congenital Problems Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 26
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Problems of Prepuce Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 27 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.
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Problems of Erectile Mechanism Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 28
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Cancer of Penis Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 29
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Problems of the Scrotum and Testes Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 30
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Inflammatory and Infectious Problems Skin Problems Epididymitis Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 31
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Inflammatory and Infectious Problems Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 32 Fig. 55-8. Scrotal masses.
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Inflammatory and Infectious Problems Orchitis Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 33
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Congenital Problems Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 34
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Acquired Problems Hydrocele Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 35
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Acquired Problems Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 36 Fig. 55-9. Hydrocele.
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Acquired Problems Spermatocele Varicocele Testicular Torsion Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 37
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Testicular Cancer Etiology and Pathophysiology Clinical Manifestations and Complications Diagnostic Studies Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 38
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Nursing and Collaborative Management: Testicular Cancer Testicular Self-Examination Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 39
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Nursing and Collaborative Management: Testicular Cancer Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 40 Fig. 55-10. Testicular self-examination.
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Nursing and Collaborative Management: Testicular Cancer Collaborative Care Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 41
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Sexual Functioning Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 42
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Vasectomy Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 43 Fig. 55-11. Vasectomy procedure. The vas deferens is ligated or resected for the purpose of sterilization.
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Erectile Dysfunction Etiology and Pathophysiology Clinical Manifestations and Complications Diagnostic Studies Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 44
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Erectile Dysfunction Collaborative Care Oral drug therapy Vacuum constriction device Intraurethral devices Penile implants Sexual counseling Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 45
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Nursing Management: Erectile Dysfunction Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 46
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Andropause Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 47 Table 55-12. Clinical Manifestations of Andropause.
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Infertility Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. 48
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