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Male Gender Disorders
PCC Stachenotes Midterm
39
Health Care
Graduate
12/10/2012

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Cards

Term
Balanitis
Definition
Bacterial or fungal infection in uncircumsized males; swelling of the glans; often seen with phimosis, in poorly controlled diabetes, or in candida infection.
Term
Balanoposthitis
Definition
Inflamation of the glans and prepuce
Term
Penile cancers
Definition
increased risk in uncircumsized males, and with poor hygeine; HPV infection increases the risk of penile cancer.
Term
Testicular cancer
Definition
Increased risk in cryptorchidism with elevated testicular temperature.
Term
Cryptorchidism
Definition
Failure of one or both testes to descend into the scrotum.
Term
Epispadius
Definition
Congenital defect resulting in the urethra opening on the dorsum of the penis.
Term
Hydrocele
Definition
Non-tender, smooth, firm mass; fluid filled scrotum.
Term
Hypospadius
Definition
Congenital defect with urethral opening on the ventral surface of the penis.
Term
Klinefelter Syndrome
Definition
XXY
Hypogonadism, small scrotum, female pubic hair pattern, gynecomastia.
Term
Paraphimosis
Definition
Inability to replace foreskin once retracted.
Term
Penile cancer
Definition
Squamous cell cancer, increased risk in uncircumsized males, painless ulceration/won't heal.
Term
Peyronie Disease
Definition
Fibrous band in the corpus cavernosum. Deviation of penis.
Term
Phimosis
Definition
Tight foreskin; will not detract over glans.
Term
Priapism
Definition
Prolonged, often painful erection. Idiopathic or seen with hemoglobinopathies like sickle cell anemia, or in leukemia.
Term
Testicular Torsion
Cause?
Definition
Twisting of testis on spermatic cord
Term
Testicular Torsion
Age of onset
Definition
Babies to teens
Term
Testicular torsion
Onset of pain
Definition
Acute pain
Term
Testicular torsion
Symproms
Definition
Vomiting, nausea
Scrotal discoloration
Lack of cremasteric reflex
Term
Testicular Torsion
Treatment
Definition
Surgical Emergency!
Term
Epidydimitis
Cause
Definition
Baterial infection (STD or UTI)
Term
Epididimitis
Age of onset
Definition
Teens to adults
Term
Epididimitis
Onset of pain
Definition
Gradual onset of pain.
Term
Epidydimitis
Definition
Fever
Dysuria, pyuria
Redness of scrotum
Urethral discharge
Nodular epididymus
Term
Smegma
Definition
Sebacious material secreted by the glans penis and epithelium desquamated from the prepuce.
Term
Spermatocele
Definition
Cystic swelling of the epididymus. Does transilluminate.
Term
Testicular tumor
Definition
Usually malignant; fixed non tender mass that does not transilluminate.
Term
Varicocele
Definition
Dilation and torsion of spermatic cord veins/scrotal swelling.
Term
Self Exam (Male)
Definition
Should be done once a month in all males past puberty. Includes inspection of urethral meatus, inspection/palpation of penis and scrotum, palpation of testicals.
Term
Human Papilloma Virus (HPV)
Definition
5.5 million new cases/year in US
No cure (viral)
Many people have the virus and don't know.
Smoking, drug, alchohol interferes with body's normal defence against this virus
Soft, reddish lesion on glans, penis, or inside urethra (condlyoma acuminatum).
Causes malignant changes to squamous cell cancer.
Term
Chlamydia
Definition
3 million new cases/year in US
Curable
Painless erosion at or near coronal sulcus (glans)
Lymph node involvement-lymphedema
Symptoms may become systemic
May impact womens' fertility
Term
Herpes
Definition
1 million new cases/year in US
No cure; viral
Painful or itchy vesicular lesions
Lesions recur again and again
Lymphadenopathy
Fever, upon initial infection (maybe)
Term
Gonnorhea
Definition
650,000 new cases/year in US
Curable-antibiotics
Watery or purulent discharge from penis
Urethral meatus may be red or swollen
Term
Syphilus
Definition
70,000 new cases/year in US
Curable; antiobiotic therapy
Syphilitic chancre
Painless lesion
Usually on glans
2 weeks after exposure lesions appear
Decades later, nervous and musculoskeletal damage
Term
What are the three most common STD's in males in the US?
Definition
HPV, Chlamydia, Herpes
Term
The ____ sphincter is made of smooth muscle and is under involuntary autonomic control.
Definition
Internal
Term
The ____ spincter is made of striated muscle and is under voluntary control.
Definition
External
Term
The urge to defecate occurs when the rectum fills with feces which causes reflex stimulation of the _____.
Definition
Internal sphincter
Term
Defecation is controlled by the ____.
Definition
External sphincter
Term
The lower half of the anal canal is supplied with ____, which makes it sensitive to painful stimuli.
Definition
Somatic sensory nerves supply the ___ half of the anal canal.
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