Med-Surg - Reproductive System, part 5: Male Reproductive Disorders
by Cathy Parkes December 13, 2022 Updated: August 10, 2023 3 min read
Full transcript and video captions coming soon!
Hi. I'm Cathy with Level Up RN. In this video, I will be covering a number of male reproductive system disorders, including disorders of the penis as well as the testes. At the end of the video, I'll be giving you guys a little quiz to test your knowledge of some of the key points I'll be covering in the video. So definitely stay tuned for that. And I will be following along with our Level Up RN Medical/Surgical nursing flashcards. If you have our flashcards, go ahead and pull them out so you can follow along with me. And if you don't have our flashcards, definitely go check them out at LevelUpRN.com. We take out all the fluff so that you can focus on just the most important stuff you need to know in nursing school and for your exams.
We're first going to talk about erectile dysfunction or ED, which is the inability to achieve or maintain an erection. And we have organic ED, as well as functional ED. With organic erectile dysfunction, we have the gradual deterioration of function due to neurological or vascular disorders, or it could be due to medications or trauma. This is different than functional ED, which typically has a sudden onset and occurs intermittently in many cases, and is usually related to stress or anxiety. Treatment of erectile dysfunction can include phosphodiesterase type 5 inhibitors, such as sildenafil. Medications in this drug class typically end in fil. And our cool chicken hint to help you remember these medications is sildenafil will help you fill out down there. These medications do carry a side effect of priapism, which is a prolonged erection. In addition, it increases the risk for a myocardial infarction. And these medications should never be taken with nitrates, such as nitroglycerin, as this can cause life-threatening hypotension. Priapism is a prolonged and painful erection without sexual desire, and this in turn can lead to impaired circulation and the inability to urinate. Causes of priapism include neurological as well as vascular disorders. And priapism can also be caused by medications as well. Treatment may include urinary catheterization as well as aspiration of blood from the penis, and medications can be injected into the penis which cause vasoconstriction as well.
Moving on to disorders of the testes now. First up, we have a hydrocele. So a hydrocele is a collection of fluid that forms around the testicle, causing swelling that is typically not painful. It is common in newborns and it can also occur due to injury to the scrotum. For babies, it typically disappears by the time they are one year old. Then a spermatocele is a sperm-containing cyst that forms on the epididymis. This cyst is usually asymptomatic and typically doesn't require treatment. A varicocele is a condition where the veins within the scrotum are enlarged. And this can cause an increase in scrotal temperature, which in turn may lead to infertility. Treatment is not necessary, but surgery may be indicated in order to address infertility issues. And then finally, we have testicular torsion. This is where we have the twisting of the spermatic cord, which includes the vas deferens. It includes nerves and blood vessels that supply blood to the testicle. So with this twisting, this inhibits the blood flow to the testicle and causes severe pain and swelling. So testicular torsion requires immediate surgery in order to restore blood flow and save the testicle.
All right, it's quiz time. I've got three questions for you. First question. Blank is a prolonged, painful erection in the absence of sexual desire. The answer is priapism. Question number two. What disorder causes enlarged veins in the scrotum and is a cause of infertility? The answer is varicocele. Question number three. What is the treatment for testicular torsion? The answer is immediate surgical repair.
All right, that is it for this video. I hope you have found it helpful. If so, be sure to hit that Like button. Take care, and I'll see you soon.
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