Chapter 9 Lesson 9.2 hydrocele testicular torsion varicoceles Hypospadias Vasectomy crypt/o Journal question: Victor, a 25-year-old man, has had surgery to remove one of his testicles due to seminoma. Can he still father a child?

Chapter Goals Define some abnormal and pathological conditions that affect the male system. Differentiate among several types of sexually transmitted infections. Explain various laboratory tests, clinical procedures, and abbreviations that are pertinent to the system. Apply your new knowledge to understanding medical terms in their proper contexts, such as medical reports and records

Pathologic Conditions How is hydrocele treated? What are the risks of an undescended testis? How common is carcinoma of the testes? What are varicoceles? What is the treatment for testicular torsion?

Pathologic Conditions (cont’d) How are carcinomas of the prostate and prostatic hyperplasia diagnosed? How are they treated?

Pathologic Conditions (cont’d) Hypospadias Surgical repair involves exciding a portion of the prepuce, wrapping it around a catheter, suturing it to the distal part of the urethra, bringing it to the end of the penis. What are the odds of a male having hypospadias? How is hypospadias treated? How is phimosis treated?

Sexually Transmitted Diseases STDs chlamydia gonorrhea herpes genitalis human papilloma virus (HPV) syphilis What are the symptoms of a chlamydial infection? Gonorrhea? Herpes genitalis? Syphilis? What types of drugs are given to treat these infections? Which infections can occur without symptoms?

Laboratory Tests and Clinical Procedures PSA test semen analysis What does the PSA test measure? What does a semen analysis look for? When might this test be performed?

QUICK QUIZ: 2. What does the PSA test for? A. levels of infection B. sperm mobility C. sperm motility D. levels of an antigen Correct answer is D. PSA tests for prostate-specific antigen (PSA) in the blood. Elevated levels of PSA are associated with enlargement of the prostate gland and may be a sign of prostate cancer.

QUICK QUIZ: 2. What does the PSA test for? A. levels of infection B. sperm mobility C. sperm motility D. levels of an antigen Correct answer is D. PSA tests for prostate-specific antigen (PSA) in the blood. Elevated levels of PSA are associated with enlargement of the prostate gland and may be a sign of prostate cancer.

Laboratory Tests and Clinical Procedures transurethral resection of the prostate--TURP What procedure treats prostatic hyperplasia (BPH)? How is it performed? What is the purpose of a digital rectal exam?

Laboratory Tests and Clinical Procedures (cont’d) Vasectomy How does the urologist perform a vasectomy? Are there any side affects to a vasectomy? What is reversal of a vasectomy? (Vasovasostomy)

QUICK QUIZ: 3. What is the term that means removal of the prostate? A. orchiectomy B. prostatecomy C. vasectomy D. prostatitis Correct answer is B.

QUICK QUIZ: 3. What is the term that means removal of the prostate? A. orchiectomy B. prostatecomy C. vasectomy D. prostatitis Correct answer is B.

Abbreviations BPH benign prostatic hyperplasia DRE digital rectal examination ED erectile dysfunction GU genitourinary HPV human papilloma virus HSV herpes simplex virus PID pelvic inflammatory disease PIN prostatic intraepithelial neoplasia PSA prostate-specific antigen RPR rapid plasma reagin

Abbreviations (cont’d) STI sexually transmitted diseases TRUS transrectal ultrasound TUIP transurethral incision of the prostate TUMT transurethral microwave thermotherapy TUNA transurethral needle ablation TURP transurethral resection of the prostate

QUICK QUIZ: 4. Which term means “no sperm or semen are produced”? A. aspermia B. oligospermia C. anorchism D. spermolytic Correct answer is A: aspermia

QUICK QUIZ: 4. Which term means “no sperm or semen are produced”? A. aspermia B. oligospermia C. anorchism D. spermolytic Correct answer is A: aspermia