Podcast
Questions and Answers
Which condition is defined as content that cannot be replaced into the abdomen?
Which condition is defined as content that cannot be replaced into the abdomen?
- Incarcerated hernia (correct)
- Painless hernia
- Reducible hernia
- Strangulated hernia
What is a common risk factor for developing a hernia?
What is a common risk factor for developing a hernia?
- High body mass index
- Age over 60 (correct)
- Daily exercise
- Sedentary lifestyle
Symptoms of a strangulated hernia may include which of the following?
Symptoms of a strangulated hernia may include which of the following?
- Colicky abdominal pain (correct)
- Sudden unilateral scrotal pain
- Reduced pain with lying down
- Intermittent swelling
What is the appropriate action if a hernia is identified as strangulated?
What is the appropriate action if a hernia is identified as strangulated?
Which statement about reducible hernias is true?
Which statement about reducible hernias is true?
Which symptom indicates that a hernia may be worsening?
Which symptom indicates that a hernia may be worsening?
What follow-up measure is crucial after surgical hernia repair?
What follow-up measure is crucial after surgical hernia repair?
Which of the following findings is likely associated with testicular torsion?
Which of the following findings is likely associated with testicular torsion?
Which lifestyle modification may help address underlying causes of erectile dysfunction?
Which lifestyle modification may help address underlying causes of erectile dysfunction?
What is the maximum recommended dose of sildenafil for erectile dysfunction?
What is the maximum recommended dose of sildenafil for erectile dysfunction?
What should patients avoid when taking tadalafil?
What should patients avoid when taking tadalafil?
Which treatment is a second-line option for erectile dysfunction?
Which treatment is a second-line option for erectile dysfunction?
What is the success rate of alprostadil when used as an intracavernous injection?
What is the success rate of alprostadil when used as an intracavernous injection?
Which condition is contraindicated for the use of sildenafil?
Which condition is contraindicated for the use of sildenafil?
Which sexually transmitted disease is caused by Neisseria gonorrhoeae?
Which sexually transmitted disease is caused by Neisseria gonorrhoeae?
What is a common psychological factor contributing to erectile dysfunction?
What is a common psychological factor contributing to erectile dysfunction?
What is the optimal time to wait between pregnancies for better maternal and child health?
What is the optimal time to wait between pregnancies for better maternal and child health?
Which contraceptive method is especially convenient for long-term use without daily attention?
Which contraceptive method is especially convenient for long-term use without daily attention?
Which of the following is a potential benefit of hormonal contraceptive methods?
Which of the following is a potential benefit of hormonal contraceptive methods?
What is a common limitation of natural family planning methods?
What is a common limitation of natural family planning methods?
What should individuals planning pregnancy discuss during preconception counseling?
What should individuals planning pregnancy discuss during preconception counseling?
Why is postpartum family planning important soon after delivery?
Why is postpartum family planning important soon after delivery?
What aspect of individual circumstances should be considered when discussing contraceptive options?
What aspect of individual circumstances should be considered when discussing contraceptive options?
What role should partners play in family planning discussions?
What role should partners play in family planning discussions?
What happens to the fundus after 36 weeks of pregnancy?
What happens to the fundus after 36 weeks of pregnancy?
What is the recommended dosage of folic acid to prevent neural tube defects during pregnancy?
What is the recommended dosage of folic acid to prevent neural tube defects during pregnancy?
Which diagnostic test is appropriate for a patient suspected of infertility with a varicocele?
Which diagnostic test is appropriate for a patient suspected of infertility with a varicocele?
In men with varicocele, what effect might it have on sperm production?
In men with varicocele, what effect might it have on sperm production?
What is a characteristic feature of a Grade 1 varicocele?
What is a characteristic feature of a Grade 1 varicocele?
What is the significance of a semen analysis in the evaluation of a varicocele?
What is the significance of a semen analysis in the evaluation of a varicocele?
What is the primary consequence of untreated varicocele?
What is the primary consequence of untreated varicocele?
What imaging technique is used to confirm the presence of a varicocele through visualizing testicular blood flow patterns?
What imaging technique is used to confirm the presence of a varicocele through visualizing testicular blood flow patterns?
When should a baby with a scrotal mass or hydrocele be reassessed by a doctor?
When should a baby with a scrotal mass or hydrocele be reassessed by a doctor?
What is cryptorchidism?
What is cryptorchidism?
What is the recommended age range for performing an orchiopexy?
What is the recommended age range for performing an orchiopexy?
What is a common cause of erectile dysfunction?
What is a common cause of erectile dysfunction?
Why is early surgical intervention for cryptorchidism important?
Why is early surgical intervention for cryptorchidism important?
What are the potential risks of leaving undescended testicles untreated?
What are the potential risks of leaving undescended testicles untreated?
Which medication is known as the first FDA-approved treatment for erectile dysfunction?
Which medication is known as the first FDA-approved treatment for erectile dysfunction?
What condition is NOT typically associated with erectile dysfunction?
What condition is NOT typically associated with erectile dysfunction?
What is the impact of aging on erectile dysfunction?
What is the impact of aging on erectile dysfunction?
What is the primary first-line medication used for managing depression during pregnancy?
What is the primary first-line medication used for managing depression during pregnancy?
Which of the following is a key symptom of hypertensive disorders in pregnancy?
Which of the following is a key symptom of hypertensive disorders in pregnancy?
What is the main advantage of insulin as a treatment for diabetes during pregnancy?
What is the main advantage of insulin as a treatment for diabetes during pregnancy?
Which medication is known for having the longest track record of safety in treating high blood pressure during pregnancy?
Which medication is known for having the longest track record of safety in treating high blood pressure during pregnancy?
What condition is characterized by excessive nausea in pregnancy, likely due to elevated hormone levels?
What condition is characterized by excessive nausea in pregnancy, likely due to elevated hormone levels?
Which of the following is a common dermatologic disorder during pregnancy?
Which of the following is a common dermatologic disorder during pregnancy?
What is a common management strategy for hyperemesis gravidarum?
What is a common management strategy for hyperemesis gravidarum?
Which of the following blood pressure medications needs to be administered only once a day in its extended-release form?
Which of the following blood pressure medications needs to be administered only once a day in its extended-release form?
What is a key characteristic of chronic bacterial prostatitis?
What is a key characteristic of chronic bacterial prostatitis?
Which statement about taking sildenafil is correct?
Which statement about taking sildenafil is correct?
Which factor most commonly causes acute bacterial prostatitis in younger men?
Which factor most commonly causes acute bacterial prostatitis in younger men?
What should NOT be done if acute prostatitis is suspected?
What should NOT be done if acute prostatitis is suspected?
How long can tadalafil remain effective after taking it?
How long can tadalafil remain effective after taking it?
What is one of the follow-up visit schedules for testicular cancer after initial treatment?
What is one of the follow-up visit schedules for testicular cancer after initial treatment?
What is a primary reason for referring a child for urologic evaluation regarding cryptorchidism?
What is a primary reason for referring a child for urologic evaluation regarding cryptorchidism?
Which of the following statements is true regarding the likelihood of cure for testicular cancer?
Which of the following statements is true regarding the likelihood of cure for testicular cancer?
What is a common risk factor for cryptorchidism?
What is a common risk factor for cryptorchidism?
What characteristic finding is associated with cryptorchidism during a physical exam?
What characteristic finding is associated with cryptorchidism during a physical exam?
What physical examination finding is commonly associated with benign prostatic hyperplasia (BPH)?
What physical examination finding is commonly associated with benign prostatic hyperplasia (BPH)?
Which symptom is NOT typically associated with BPH?
Which symptom is NOT typically associated with BPH?
What situation may lead to acute urinary retention in men with BPH?
What situation may lead to acute urinary retention in men with BPH?
Which imaging technique is used for diagnosing a varicocele?
Which imaging technique is used for diagnosing a varicocele?
What is the likely size change of a varicocele when the patient is in a supine position?
What is the likely size change of a varicocele when the patient is in a supine position?
What is the likely result of a urine culture in a case of acute prostatitis?
What is the likely result of a urine culture in a case of acute prostatitis?
Which antibiotics are recommended for treating prostatitis in men younger than 35 years?
Which antibiotics are recommended for treating prostatitis in men younger than 35 years?
What is a classic physical sign associated with epididymitis?
What is a classic physical sign associated with epididymitis?
What blood tests might be necessary for a patient with suspected prostatitis and urinary retention?
What blood tests might be necessary for a patient with suspected prostatitis and urinary retention?
In cases of acute epididymitis, what pathogen is commonly identified in men over 35 years old?
In cases of acute epididymitis, what pathogen is commonly identified in men over 35 years old?
What is the recommended treatment duration for chronic prostatitis?
What is the recommended treatment duration for chronic prostatitis?
Which imaging study is primarily utilized to evaluate significant voiding dysfunction in patients suspecting prostatitis?
Which imaging study is primarily utilized to evaluate significant voiding dysfunction in patients suspecting prostatitis?
What key symptom distinguishes testicular torsion from epididymitis?
What key symptom distinguishes testicular torsion from epididymitis?
What is one advantage of minimally invasive hernia repair over open surgery?
What is one advantage of minimally invasive hernia repair over open surgery?
Which is the primary method used to perform minimally invasive hernia repair?
Which is the primary method used to perform minimally invasive hernia repair?
What is the role of gas in minimally invasive hernia repair?
What is the role of gas in minimally invasive hernia repair?
After a minimally invasive hernia repair, what should patients expect regarding their ability to resume normal activities?
After a minimally invasive hernia repair, what should patients expect regarding their ability to resume normal activities?
Which medication is typically used to treat gonorrhea?
Which medication is typically used to treat gonorrhea?
What is one characteristic symptom of gonorrhea in men?
What is one characteristic symptom of gonorrhea in men?
How are HPV infections typically diagnosed?
How are HPV infections typically diagnosed?
What is often true about the lesions caused by HPV?
What is often true about the lesions caused by HPV?
What is the recommended application frequency for Podofilox solution or gel?
What is the recommended application frequency for Podofilox solution or gel?
Which treatment is NOT a recommended provider-administered option for external warts?
Which treatment is NOT a recommended provider-administered option for external warts?
What is the potential side effect reported by patients using Podofilox?
What is the potential side effect reported by patients using Podofilox?
Which of the following is a treatment option for yeast infections?
Which of the following is a treatment option for yeast infections?
How often is Sinecatechins 15% ointment applied for treating warts?
How often is Sinecatechins 15% ointment applied for treating warts?
What common symptom might females report when infected with Chlamydia?
What common symptom might females report when infected with Chlamydia?
What is the duration of treatment using Imiquimod cream for external warts?
What is the duration of treatment using Imiquimod cream for external warts?
Which of these is a common route of administration for Azithromycin in treating Chlamydia infection?
Which of these is a common route of administration for Azithromycin in treating Chlamydia infection?
Flashcards
Femoral hernia
Femoral hernia
A hernia located below the inguinal ligament, protruding through the femoral ring. Often, 40% become incarcerated or strangulated.
Incarcerated hernia
Incarcerated hernia
A hernia where the contents cannot return to the abdomen.
Strangulated hernia
Strangulated hernia
A hernia where the blood supply to the bowel is cut off; urgent surgical need.
Symptoms of Strangulation
Symptoms of Strangulation
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Reducible hernia
Reducible hernia
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Risk factors for hernias
Risk factors for hernias
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Testicular torsion
Testicular torsion
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Treatment for hernias
Treatment for hernias
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Radical Prostatectomy
Radical Prostatectomy
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Erectile Dysfunction Treatment
Erectile Dysfunction Treatment
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PDE5 Inhibitors
PDE5 Inhibitors
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Gonorrhea
Gonorrhea
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Sildenafil (Viagra)
Sildenafil (Viagra)
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Tadalafil (Cialis)
Tadalafil (Cialis)
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Intracavernous Injection
Intracavernous Injection
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Alprostadil
Alprostadil
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Ideal Pregnancy Spacing
Ideal Pregnancy Spacing
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Individualized Contraception Counseling
Individualized Contraception Counseling
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Long-Acting Reversible Contraception (LARC)
Long-Acting Reversible Contraception (LARC)
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Preconception Counseling
Preconception Counseling
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Postpartum Family Planning
Postpartum Family Planning
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Contraceptive Method Options
Contraceptive Method Options
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Medical History in Contraception
Medical History in Contraception
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Access to Contraceptive Care
Access to Contraceptive Care
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Hypertension in Pregnancy
Hypertension in Pregnancy
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Hyperemesis Gravidarum
Hyperemesis Gravidarum
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Anemia in Pregnancy
Anemia in Pregnancy
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PUPP, PG, and ICP
PUPP, PG, and ICP
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Group B Strep (GBS)
Group B Strep (GBS)
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SSRIs for Depression in Pregnancy
SSRIs for Depression in Pregnancy
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Insulin for Diabetes in Pregnancy
Insulin for Diabetes in Pregnancy
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Safe Blood Pressure Medications in Pregnancy
Safe Blood Pressure Medications in Pregnancy
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Cryptorchidism
Cryptorchidism
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Orchiopexy
Orchiopexy
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Why is orchiopexy recommended?
Why is orchiopexy recommended?
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Ideal timing for orchiopexy
Ideal timing for orchiopexy
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Fertility concerns with cryptorchidism
Fertility concerns with cryptorchidism
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Cancer risk with cryptorchidism
Cancer risk with cryptorchidism
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Erectile Dysfunction (ED)
Erectile Dysfunction (ED)
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Common causes of ED
Common causes of ED
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Contraindications for ED medications
Contraindications for ED medications
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Fundal Height Before 20 Weeks
Fundal Height Before 20 Weeks
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Fundal Height After 36 Weeks
Fundal Height After 36 Weeks
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Breech Presentation
Breech Presentation
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Varicocele
Varicocele
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Varicocele Diagnosis
Varicocele Diagnosis
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Varicocele Impact on Sperm
Varicocele Impact on Sperm
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Varicocele Grading
Varicocele Grading
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Varicocele and Fertility
Varicocele and Fertility
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Testicular Self-Exam
Testicular Self-Exam
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Risk Factors for Cryptorchidism
Risk Factors for Cryptorchidism
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Cryptorchidism and Fertility
Cryptorchidism and Fertility
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Acute Bacterial Prostatitis
Acute Bacterial Prostatitis
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Chronic Prostatitis
Chronic Prostatitis
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Prostatitis Causes
Prostatitis Causes
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Prostate Massage for Prostatitis?
Prostate Massage for Prostatitis?
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Prostatitis
Prostatitis
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Prostatitis Diagnosis: Urine Analysis
Prostatitis Diagnosis: Urine Analysis
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Prostatitis Diagnosis: Cultures
Prostatitis Diagnosis: Cultures
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Prostatitis Treatment: Young Men
Prostatitis Treatment: Young Men
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Prostatitis Treatment: Older Men
Prostatitis Treatment: Older Men
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Epididymitis
Epididymitis
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Epididymitis: Prehn's Sign
Epididymitis: Prehn's Sign
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Testicular Torsion vs. Epididymitis
Testicular Torsion vs. Epididymitis
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What causes a varicocele?
What causes a varicocele?
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How is a varicocele diagnosed?
How is a varicocele diagnosed?
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What are the symptoms of a varicocele?
What are the symptoms of a varicocele?
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BPH
BPH
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Minimally Invasive Hernia Repair
Minimally Invasive Hernia Repair
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Laparoscope
Laparoscope
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Synthetic Mesh
Synthetic Mesh
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Bilateral Hernia
Bilateral Hernia
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STI tests
STI tests
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Ceftriaxone
Ceftriaxone
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Podofilox
Podofilox
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Imiquimod
Imiquimod
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Sinecatechins
Sinecatechins
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Cryotherapy
Cryotherapy
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Azithromycin
Azithromycin
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Doxycycline
Doxycycline
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NAATs
NAATs
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Yeast Infection
Yeast Infection
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Study Notes
Prostate Screening Guidelines
- USPSTF recommends against routine screening.
- ACS and AUA guidelines recommend an individualized approach with shared decision-making.
- For most men, screening with PSA and DRE should begin at age 50.
- Consider screening at 45 for men at high risk (first-degree relative with prostate cancer before age 65, or black ethnicity).
- Men with more than one first-degree relative with a history of prostate cancer should begin screening at age 40.
- Asymptomatic men with a 10-year life expectancy should not be offered PSA testing.
- Routine screening involves PSA testing and digital rectal examination (DRE).
- PSA levels above 4 ng/mL may warrant further investigation (e.g., biopsy or imaging).
- Screening frequency depends on risk factors (age, family history, and ethnicity).
Risk Factors
- Age: Risk increases after age 50.
- Family history of prostate cancer.
- African American ethnicity.
- Diet high in red meat and low in fruits and vegetables.
Diagnostics
- Digital Rectal Exam (DRE): Palpable abnormalities suggest malignancy.
- Prostate-Specific Antigen (PSA) Testing: Elevated levels require follow-up. PSA is usually <4 ng/mL. Evaluate change in PSA velocity in conjunction with DRE. A PSA value > 10ng/mL necessitates biopsy. A PSA value of 4-9.9ng/mL is often biopsied, but only 20% of these patients have prostate cancer.
- Prostate cancer antigen 3 (PCA3), TMPRSS2-ERG gene fusion, and prostate health index are adjunctive tests to use with PSA.
- Alkaline phosphatase: elevated with metastasis.
- Testosterone and liver function tests if androgen deprivation is suspected.
- Transrectal biopsy with transrectal ultrasound (TRUS) guidance.
- CT, primarily to evaluate prostate size and pelvic lymph node involvement in the preoperative stage, or for evaluating metastasis.
Testicular Cancer
- Malignant tumor of the testicle.
- Two types: germ cell (most common) and non-germ cell.
- Germ cell types: seminoma, teratoma, teratocarcinoma, embryonal carcinoma.
- Non-germ cell types: Leydig cell, gonadoblastoma, adenocarcinoma.
- Screening: Early detection is crucial.
- Risk Factors: history of cryptorchidism, family history, White race.
- Assessment Findings: painless testicular mass, swelling, discomfort, feeling of heaviness, possible loss of libido or erectile dysfunction, enlargement of testicle.
Testicular Torsion
- Sudden, severe, unilateral scrotal pain.
- Scrotal edema and erythema.
- Firm tender mass (may be retracted upward).
- No pain relief with testicular elevation.
- Lower abdominal pain.
- Reactive hydrocele.
- High-riding testicle with "bell-clapper" deformity.
- Horizontal lie within the scrotum.
- Nausea and vomiting.
- Absent cremasteric reflex.
- Negative Prehn's sign.
Active Surveillance and Follow-up
- Clinical examinations with PSA every 6 months for first 5 years, then annually; DRE annually.
- Repeat prostate biopsies 1 year after original diagnosis, and then every 2-4 years.
- Evaluation for CVD and prevention in patients treated with ADT.
- Screening for urinary tract dysfunction, sexual dysfunction, depression, anxiety, suicidality, and caregiver distress in patients treated with adjuvant therapy.
Erectile Dysfunction
- Inability to achieve or maintain an erection sufficient for sexual performance.
- Risk Factors: Cardiovascular disease, hypertension, diabetes, smoking, hyperlipidemia, radiation of the pelvis, COPD, sleep apnea, neurologic disorders, injuries to spinal cord/brain, Parkinson's disease, Alzheimer's, multiple sclerosis, stroke, Peyronie's disease, cavernous fibrosis, penile fracture, epispadias, priapism, hypogonadism, hyper/hypothyroidism, hyperprolactinemia.
- Drug-induced: antihypertensives, antidepressants, antipsychotics, antiandrogens, recreational drugs, pain medication (especially opioids and anticholinergics), 5-alpha reductase inhibitors, and alcohol use.
- Psychogenic: performance anxiety, PTSD, relationship problems, lack of arousal, anxiety, depression, etc.
- Surgical procedures which lead to postoperative disruption in neurologic function, atherosclerosis, smoking, hypertension, diabetes.
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