Nursing Management: Male Reproductive Problems Chapter 55 Overview Copyright © 2011, 2007 by Mosby,...

Nursing Management:Nursing Management:

Male Reproductive Male Reproductive ProblemsProblems

Chapter 55 OverviewChapter 55 Overview

Problems of the Prostate Gland

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,...

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