-
Cryptorchidism
- undescended testes (those that have never descended). Undescended testes are common in premature infants.
- *They occur in 3% to 4% of term infants, although most have descended by 3 months of age. Age at which child should be referred differs among physicians
*If baby is low birth weight, hereditary, if mother is diabetic or drank alcohol for this to happen
-
Bed weting ages
- 5-7 more pressure in school stress, low self esteem and can be related to diabetes
- and urinate a lot Or have control but not in sleep
-
Hypospadias
Urethra is not on top but urinated on the side
Ventral location of meatu
-
Phimosis
Inability to retract foreskin
-
Tanner’s Sexual Maturity Rating-Boys
•Puberty begins sometime between ages of 9½ & 13 ½.
- •Complete change in development
- from preadolescent to an adult takes around 3 years, although range is 2 to 5 years.
-
Non gonococcal urethitus
called in men with gonorrhea usually have no symptoms yellow or clear drainage
-
Symptoms of Testicular Cancer
- •Lump in testicle; typically pea-sized, but
- sometimes as large as a marble or an egg
•Any enlargement of testicle
•Significant shrinking of testicle
•Change in consistency of a testicle (hardness)
•Feeling of heaviness in scrotum
•Dull ache in lower abdomen or in groin
•Sudden collection of fluid in scrotum
•Pain or discomfort in a testicle or scrotum
-
Most common cancer in young men
between the ages of
•15 and 40 years. But it can strike any male, any time.
•Highest risk in white Caucasian males
•Biopsy
•Risk factor – undescended
testicles, family history
•8000 new cases/ year
•90% - 100% curable
-
Testicular Self-Examination (TSE)
- •Every male from 13 to 14 years old through
- adulthood should exam testicles every month.
•Points to include during health teaching:
–T = timing, once a month
–S = shower, warm water relaxes scrotal sac
–E = examine, check for changes, report changes immediately
-
•Aging Male Prostate Disease
•Urinary hesitancy
•Weakened stream of urine
•Urine dribbling
-
Aging Male Sexual Function
–Decreased – circulation antihypertensive medications, sedatives, alcohol
–Less sperm production.
–Sperm production begins to decrease around age 40.
-
Prostate gland commonly starts to
enlarge
during the middle years
-
Benign Prostatic Hypertrophy (BPH)
not cancerous caused by hormonal changes causes obstruction of the urethra
- present in 1 of 10 males at 40 years of age and increases with age. Thought to be caused by hormonal changes due to aging. This leads to gradual impedance of urinary output as BPH
- obstructs urethra.
-
PSA
- blood test for a patient with symptoms or age 50 to see what the normals are. 2 then 10
- =CANCER 2 then 2.5 may be getting enlarged
-
Inguinal (Femoral) Nodes
- •- in supine position with knee slightly
- flexed, palpate for superior superficial nodes
- •Tender, matted, or warm nodes more likely a
- result of inflammation
- •Hard and discrete nodes are more likely a
- malignancy; these are usually nontender
- •Nodes larger than 1cm or those that have
- grown rapidly represent a problem
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