1 / 20

Genital-Urinary System

Genital-Urinary System. Male Reproductive System. Behavioral Objectives. By the end of this lecture the student will be able to: Review the anatomy and physiology of the genito-urinary systems Describe the physical assessment of the GU systems

xenon
Download Presentation

Genital-Urinary System

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Genital-Urinary System Male Reproductive System

  2. Behavioral Objectives By the end of this lecture the student will be able to: • Review the anatomy and physiology of the genito-urinary systems • Describe the physical assessment of the GU systems • Discuss the application of the nursing process as it relates to patients with disorders of the GU system • Describe etiology, pathophysiology, clinical manifestations, nursing management and patient education for the following GU disorders: • Prostatitis, • Orchitis • Prostaic hypertrophy • Prostatic neoplasms • Discuss the nursing interventions in pre and post-operative care of patients undergoing the following GU system surgeries: • Prostatectomy

  3. Introduction • Several organs are both urinary tract and reproductive system • Disease of male reproductive system are usually treated by an urologist.

  4. Anatomy & Physiology • Brunner and Suddarth’s Medical Surgical Nursing • Volume 2 • Ch. 49 • pg 1739 - 1776

  5. Testes • Descend into peritoneum in the last month of fetal life, • Paired • Ovoid • Smooth • Firm – not soft • Encased in the scrotum • i temp

  6. Spermatogenesis • What is Spermatogenesis? • Formation of Sperm • Spermatozoa • Immature sperm • Collecting tubules • Transmit the spermatozoa in the epididymis

  7. Testes • Testes have two functions • Formation ofspermatozoa • Secretion of the male sex hormone - testosterone

  8. Vas deferens (ductus deferens) • Tube • upward  abd. cavity • downward  base of the bladder

  9. Seminal vesicles • It acts as a reservoir for testicular secretions • The tract is continued called the ejaculatory duct – • Passes through the prostate gland and enters into the urethra

  10. Accessory glands • Prostate gland • Location: • below the neck of the bladder • Surrounds the urethra • Function: • Secrets chemicals to help spermatozoa

  11. Accessory glands • Cowper’s gland / bulbourethral gland • Location • Below the prostate • Function • Lubrication for sperm

  12. Penis • Dual function • Copulation • Urination • Urethra • Tube carries urine & semen • Opens at the tip of the glans

  13. Penis • The glans • Covered penile skin – foreskin • Retracted to expose the glans. • Circumcision • Foreskin removal

  14. Physical Assessment • Brunner and Suddarth’s Medical Surgical nursing pg 1742-1744

  15. Health History Evaluate urinary & sexual function • Frequency • Force of stream, • “double” or “Triple” voiding • Dysuria • Hematuria • Hematospermia • blood in the ejaculate semen/sperm • Medications • Diuretics • Psychotropic agents • Anti-hypertensives • Diagnosis • DM • HTN • Smoking

  16. Physical Assessment Digital Rectal Examination (DRE) • > 40 yrs • Annually • Prostate gland • Size, shape and consistency

  17. Physical Assessment Testicular exam • Monthly (self) • Abnormalities & masses

  18. Physical Assessment Prostate Specific Antigen • h PSA level is = ?prostate Cancer? • h PSA  Prostate pathology screen • BPH • Prostatitis • Foley catheter • DRE does not cause Increase in PSA

  19. Small group questions: • Describe the path a spermatozoa takes from formation to ejection • What are the male sex hormones and where are they formed? • What type of doctor would a man see if he is having sexual dysfunction? • While assessing the testes what would be normal findings?

  20. 4. What are the male accessory glands and what are their purposes? 5. Describe the purpose of a DRE, Testicular exam and PSA screen. How often should men have these screens done?

More Related