Nursing Management: Male Reproductive Problems Chapter 55 Overview Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Nursing Management:Nursing Management:

Male Reproductive Male Reproductive ProblemsProblems

Chapter 55 OverviewChapter 55 Overview

Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

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.

Benign Prostatic Hyperplasia

Etiology and Pathophysiology




Fig. 55-2. Benign prostatic hyperplasia. The enlarged prostate compresses the urethra.


Clinical ManifestationsComplicationsDiagnostic Studies



Collaborative Care •Drug therapy

•5-reductase inhibitors-adrenergic receptor blockers



Collaborative Care, continued •Minimally invasive therapy

•Transurethral microwave thermotherapy

•Transurethral needle ablation of prostate

•Laser prostatectomy•Intraprostatic urethral stents



Collaborative Care, continued • Invasive therapy

•Transurethral resection of prostate




Fig. 55-3. Transurethral resection of the prostate.


Collaborative Care• Invasive therapy, continued

•Transurethral incision of prostate


Nursing Management: Benign Prostatic Hyperplasia

Nursing AssessmentNursing DiagnosesPlanning


Nursing Management: Benign Prostatic Hyperplasia

Nursing Implementation•Health promotion•Acute intervention

•Preoperative care•Postoperative care

•Ambulatory and home careEvaluation


Prostate Cancer Etiology and

PathophysiologyClinical Manifestations and

Complications


Prostate Cancer


Fig. 55-4. Metastasis of prostate cancer to the pelvis and lumbar spine.

Prostate Cancer Diagnostic StudiesCollaborative Care•Conservative therapy•Surgical therapy

•Radical prostatectomy


Prostate Cancer


Fig. 55-5. Common approaches used to perform a prostatectomy. A, Retropubic approach involves a midlineabdominal incision. B, Perineal approach involves an incision between the scrotum and anus.

Prostate Cancer Collaborative Care•Surgical therapy, continued

•Nerve-sparing procedure•Cryotherapy


Prostate Cancer Collaborative Care,

continued•Radiation therapy

•External beam radiation•Brachytherapy


Prostate Cancer


Fig. 55-6. A, Prostate brachytherapy. Implantation of seeds with a needle guided by ultrasound and atemplate grid. B, Radioactive seeds.

Prostate Cancer Collaborative Care, continued•Drug therapy

•Hormonal therapy•Luteinizing-hormone–releasing

hormone (LHRH) agonists and antagonists

•Androgen receptor blockers•Estrogen

•Orchiectomy•Chemotherapy


Culturally Competent Care: Prostate Cancer


Nursing Management: Prostate Cancer

Nursing AssessmentNursing DiagnosesPlanningNursing Implementation•Health promotion•Acute intervention•Ambulatory and home care

Evaluation


Prostatitis Etiology and


ComplicationsDiagnostic Studies


Nursing and Collaborative Management: Prostatitis


Problems of the Penis


Congenital Problems


Problems of Prepuce


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.

Problems of Erectile Mechanism


Cancer of Penis


Problems of the Scrotum and Testes


Inflammatory and Infectious Problems

Skin ProblemsEpididymitis




Fig. 55-8. Scrotal masses.


Orchitis


Congenital Problems


Acquired Problems Hydrocele


Acquired Problems


Fig. 55-9. Hydrocele.

Acquired Problems SpermatoceleVaricoceleTesticular Torsion


Testicular Cancer Etiology and




Nursing and Collaborative Management: Testicular

Cancer

Testicular Self-Examination



Cancer


Fig. 55-10. Testicular self-examination.


Cancer

Collaborative Care


Sexual Functioning


Vasectomy


Fig. 55-11. Vasectomy procedure. The vas deferens is ligated or resected for the purpose of sterilization.

Erectile Dysfunction Etiology and




Erectile Dysfunction Collaborative Care•Oral drug therapy•Vacuum constriction device• Intraurethral devices•Penile implants•Sexual counseling


Nursing Management: Erectile Dysfunction


Andropause


Table 55-12. Clinical Manifestations of Andropause.

Infertility


Nursing Management: Male Reproductive Problems Chapter 55 Overview Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

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