high frequency electrical current cuts and vaporizes excess tissue
prostatic stents
placed in the urethra to maintain permanent patency after a procedure for destroying or removing prostatic tissue
THE GOLD STANDARD
Turp- transurethral resection of the prostate
when the enlarged portion of the prostate is removed through an endoscope instrument
the enlarged portion of the prostate gland is then removed in small pieces (prostate chips)
prostatectomy
entire prostate removal
transurethral incision of the prostate
small cuts are made into the prostate to relieve pressure on the urethra
how long for cath?
turp-several days
holep-over night
retrograde ejaculation
most of the semen flows backwards into the bladder so only a small amount will be ejaculated from the penis
what is the most common type of male cancer
prostate
what patients are at higher risk for developing prostate cancer?
patients with pinĀ (prostatic intraepithelial neoplasia)
is prostate cancer fast?
no it is slow and progresses in a predictable manner
PSA
prostate specific antigen is a glycoprotein produced by the prostate. used to screen for prostate cancer.
normal=less than 2.5
bilateral orchiectomy
removal of both testicles
radiation proctitis
rectal mucosa inflammation
erectile dysfunction
impotence
inability to achieve or maintain an erection for sexual intercourse
tumescence
swelling
testicular exams
monthly
testicular cancer
rare
20-54 yo
germ cell and non germ cell
germ cell=arising from sperm producing cells
non=arising from the stoma, interstitial or leydig cells that produce testosterone
cryptorchidism
undescended testes
labs for testicular cancer
alpha feta protein
beta human chorionic gonadotropin
lactate dehydrogenase
oligospermia
low sperm count
azoospermia
absence of living sperm
unilateral orchiecctomy
removal of the affected testi
hydrocele
cystic mass, straw colored fluid that forms around the testis because of impaired lymphatic drainage of the scrotum causing swelling of the tissue surrounding the testis
no treatment necessary if it is not hurting anything
spermatocele
sperm containing cyst that develops on the epididymis alongside the testicle
varicocele
cluster of dilated veins behind and above the testis
scrotum feels worm like
can cause infertility
varicocelectomy
surgical removal of the varicocele
penectomy
partial or total removal of the penis
priapism
uncontolled long maintained erection without sexual desire
affects the 2 corpora cavernosa
circulation to the penis may be compromised
prostatitis
inflammation of the prostate gland
prostatodynia
pelvic floor pain
complications of prostatitis
cystitis-inflammation of the bladder
epididymitis-inflammation of the epididymus
what causes epididymitis
staph or e coli
chlamydia
orchiectomy
removal of both testes
epididymectomy
excision of the epididymus from the testicle
orchitis
acute testicular inflammation resulting from trauma or infection