1. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 28 Male Reproductive System

2. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Testicular Examination

3. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Disorders of the Male Reproductive System Testicular cancer –Most common cancer in men ages 20–35 years –No symptoms; usually a painless lump is found on a testicle –Cause could be an undescended testicle (cryptorchidism) and a history of mumps

4. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Disorders of the Male Reproductive System Testicular cancer –Diagnosis made by biopsy of testicular mass –Treatment is orchidectomy followed by radiation and chemotherapy –Monthly testicular exam recommended

5. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Disorders of the Male Reproductive System Prostatitis –Inflammation of prostate mostly in men over age 50

6. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Disorders of the Male Reproductive System Prostatitis –Symptoms include burning while urinating, back pain, urinary frequency –Cause: bacterial from gonorrhea or urinary tract infection –Diagnostic tests: urinalysis, urine culture, and rectal exam –Treatment: medication and force fluids

7. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Disorders of the Male Reproductive System Prostate cancer –A leading cause of death in men with metastasis to spine or pelvis –Symptoms include urinary obstruction, urinating frequently, and inability to urinate –Diagnostic tests include ultrasound, CAT scan, and PSA level –Treatment includes surgery, radiation, and chemotherapy

8. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Disorders of the Male Reproductive System Benign prostatic hypertrophy –Common in men age 50 or older –Symptoms Inability to completely empty the bladder Diminished flow of urine Difficulty starting to urinate

9. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Disorders of the Male Reproductive System Benign prostatic hypertrophy –Cause: prostate constricts urethra –Diagnostic tests include prostate-specific antigen, excretory urography, ultrasound, and biopsy –Treatment includes medication or surgery known as transurethral resection

10. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Disorders of the Male Reproductive System Sexually transmitted diseases –Affect men and women and can damage health and cause infertility Balanitis –Usually caused by poor hygiene in uncircumcised men –Also caused by bacteria, fungi, viruses, caustic soaps, and improper rinsing with soap

11. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Disorders of the Male Reproductive System Infertility –Inability or diminished ability to conceive –Treatments depend on the cause Can include surgery, antibiotics, pharmaceuticals, or artificial insemination Erectile dysfunction –Treatments depend on the cause Can include medication, penile injections, sex therapy, penile implants, vacuum pumps

12. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. The Male Reproductive Examination and the TPMS

13. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Diagnostic Tests and Procedures Vasectomy >> –Surgical procedure performed on the male in which a portion of the vas deferens is removed, rendering the male sterile

14. Copyright © 2010 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Diagnostic Tests and Procedures Semen analysis –Performed to complete fertility work-up and evaluate effectiveness of a vasectomy Urodynamic studies –Tests the lower urinary tract –Measures bladder capacity, strength of contraction, and ability to retain urine in the bladder