Chapter 9: Male Reproduction System – Flashcards

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genitourinary (GU) tract
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part of the system (penis and penile canal) serves both as genitalia and as urinary organ
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genit/o
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genitalia
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urin/o
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urinary
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andr/o
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male
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testis
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small, smooth, oval-shaped, paired glands
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test/o (orch/o, orchi/o, orchid/o)
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testicle
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scrotum
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cutaneous pouch suspended between the thighs
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perineum
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external, diamond-shaped area seen between the scrotum and anus
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seminiferous tubules
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tiny coiled tubes that are contained in 200 or more cone-shaped lobules that divide up the testes. perform the essential work of the testes, they comprise the functional, or parenchymal, tissue of the organ.
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spermatogenesis
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formation and development of sperm cells which occurs along the lining of the tubules
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Parenchymal tissues
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contain the essential, distinctive cells of an organ
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interstitial(Leydig) cells
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are spread among the seminiferous tubules and form the connective and supportive tissue (stroma) of the testes and secrete the hormone testosterone
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tunica albuginea
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tough, whitish membrane that covers the testicle and then enters the gland to form speta
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septa
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divide the testicle into section or lobules
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androgens
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male hormones
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spermatozoa (spermatozoon sing.)
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mature male germ cell that is formed in the seminiferous tubules of the testes and functions as the generative element of the semen, serving to fertilize the ovum and containing the genetic data to be sent to the zygote by the male. It is released into the lumen of each seminiferous tubule.
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epididym/o
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epididymis
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epididymis
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one of a pair of comma-shaped, tightly coiled tubes that runs down the length of the testis and then turns upward and tapers into an inferior tail portion that is continuous with the vas deferens. The ______ is where sperm cells continue to mature until they either are conveyed by ejaculation through the urethra or disintegrate and are reabsorbed by the body.
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vas/o
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vas deferens
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vas deferens (ductus deferens)
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encased in the spermatic cord, and extends into the abdominal cavity, over the ureters, and behind the urinary bladder. It then enters the base of the prostate gland to join with the seminal vesicles and forms the ejaculatory duct
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prostate
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donut-shaped exocrine gland in the male surrounding the neck of the bladder and the urethra and producing a secretion containing 1. citric acid, 2. acid phosphatase 3. proteolytic enzymes that liquefy coagulated semen alkaline substances help to protect sperm from urethral and vaginal acidity and enhance sperm motility (encircles the upper portion of urethra)
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seminal vesicles
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two saclike structures that lie between the bladder and the rectum. These glands secrete a thick, yellowish substance that serves to nourish the sperm and, together with secretions from the prostate, form the seminal fluid, or semen
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semen
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thick, whitish secretion of the reproducive organs in the male, discharged from the urethra on ejaculation and composed of spermatooa in their nutrient plasma and secretions from the seminal vesicles, prostate, and other glands
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ejaculatory ducts
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short tubes that begin at the base of the prostate gland and pass through the gland to end in the prostatic portion of the urethra
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prostat/o
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prostate gland
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cowper (bulbourethral) gland
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two round, pea-sized exocrine glands that lie just below the prostate gland. The _______ ____ secrete into the urethra a fluid that helps to transport sperm and to contribute to the survival of the male sex cells
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pen/o
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penis
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penis
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external reproductive organ that contains the urethra, which serves as a passageway both for semen during ejaculation and for urinary elimination structure consists of 3 cylindrical masses of erectile tissue 1. mass surrounds the urethra and the outermost mass is covered with skin
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balan/o
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glans penis
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glans penis
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overlap of erectiel tissue at the tip of the penis that forms the slightly bulging structure
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prepuce
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foreskin fold of skin covering the tip of thep penis
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vasectomy
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used to sterilize a male kills all sperm cells
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testosterone
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stimulate the development of male characteristics
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sperm
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1/500 of an inch long and resembles a tadpole in its appearance. consists of a head, cylindrical midpiece, and an elongated tail region 300 million sperm cells are released into female reproductive tract and only 50 to 100 reach the ovum only 1 can penetrate and fertilize a single egg live only hours after being deposited in the female some survive for up to 3 days
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flagellum
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tail region of the sperm. It is a hairlike projection aiding in cell motility
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head
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____of the sperm which contains the nucleus (carrier of genetic information)
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acrosome
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tip of the head of the sperm cell which contains enzymes that allow the sperm to penetrate the female ova during fertilization
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midpiece
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spiral-shaped body that contain mitochondria that produce the ATP to supply he energy needed for the sperm to swim during the journey to the female site of fertilization
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fraternal twins
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develop when two different spermatozoa fertilie two different ova Although these offspring are born of the same pregnancy, they have separate placentas and are no more closely related than other brothers and sisters.
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identical twins
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produced from a single fertilized ovum, usually with one placenta and two amniotic sacs During the early stages of embryonic development, the ovum splits into equal halves, each of which gives rise to a separate fetus. These offspring are always of the same sex and closely resemble each other in their physical, psychologic, and mental characteristics.
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spermatozoon
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make sex cells
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testicular carcinoma
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cancer of testes -occurs in 15yo-35yo mostly -less than 1% of all forms of cancer in men
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testicular neoplasms
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germinal/ nongerminal 90% of testicular carcinomas are germinal cancers fix??
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germinal
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arising from embryonic, or germ, cells in the testes
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seminoma
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germinal tumor that forms in the seminiferous tubules
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semin/i
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seminiferous
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nonseminomatous tumors
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embryonal carcinomas that derive from embryonic cells
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choriocarcinoma
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epithelial malignancy that develops from the chorionic portion of the products of conception
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teratoma
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tumors composed of different kinds of tissue
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terat/o
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monster
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teratocarcinoma
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combination of embryonal carcinoma and teratoma
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embryonal carcinoma
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tumor derived from embryonic cells
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hematuria
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blood in urine
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benign prostatic hyperplasia
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enlarged prostate
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cryptorchidism
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when one or both of the testes fail to descend
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crypt/o
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hidden
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cryptorchism
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most common congenital testicular condition which becomes a risk factor for infertility and testicular cancer
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testicular torsion
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twisting of the spermatic cord, which contains blood vessels supplying the testis and epididymis characteried by severe pain and acute swelling -surgical emergency that if left untreated can lead to atrophy of testis
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atrophy
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no development
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varicocele
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enlargement of the veins of the spermatic cord affects left spermatic cord more often than right
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orchitis
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inflammation of testis
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hydrocele
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accumulation of fluid in the scrotum may be caused by inflammation of the testis or epididymis or may result from interference with lymphatic drainage
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transillumination
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shining a light source through the scrotal tissue to identify the fluid-filled mass
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epididymitis
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inflammation of the elongated cordlike structure located along the posterior border of the testis
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aspermia
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abnomral condition of the sperm characteried by a lack of formation or emission of semen
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aoospermia
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condition of no living sperm in the semen
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zo/o
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living animal
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oligospermia
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low sperm count
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olig/o
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scanty
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prostatic cancer
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most common cancer in men slow-growing tumor that affects an increasing proportion of men after age of 50
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benign prostatic hyperplasia (BPH)
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noncancerous condition common in men over 50 that is characterized by enlargement of portions of the porstate gland **because urethra passes through prostate, enlargement can compress urethra and obstruct urinary flow other symptoms: decrease in the urinary stream, urgency, blood in the urine, incomplete emptying of the bladder, and infection as a result of urinary retention.
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phimosis
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prepuce fits so tightly over the glans penis that it cannot retract **obstructs flow of urine and cna lead to development of infection because of accumulation of secretions on the foreskin
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phim/o
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to muzzle
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hypospadias
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congenital disorder in which external opening of the urethra (urinary meatus) is on the undersurface of the penis
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penoscrotal
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pertaining to the penis and scrotum
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erectile dysfunction (ED)
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impotence difficulty achieving or maintaining an erection Viagra, Cialis, and Levirtra can enhance erectile function by increasing blood flow to the penis
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sexually transmitted diseases (STDs) (sexually transmitted infections [STIs]
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communictaed by intimate sexual contact
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Acquired immunodeficiency syndrome (AIDs)
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...
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chlamydia
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caused by bacteria Chalmydia trachomatis is considered to be the most prevalent STD in the US. symptom: urethritis
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urethritis
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recognized by painful or burning sensation on urination and urethral discharge
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nonspecific urethritis (NSU)
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used to distinguish betweeen STD causing and other occurances
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Gonorrhea
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common STD caused by gonocci bacteria and results in inflammation of the genital tract mucosa indications: urethritis, painful urination, mucopurulent, itching, burning, pain around vaginal/urethral opening **women carry disease without symptoms
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gon/o
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seed
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mucopurulent
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pus-filled urethral or vaginal discharge
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Herpes genitalis
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chronic infection caused by the typ II herpes simplex virus (HSVII) and is usually transmitted by sexual contact -may be communicated to the fetus or neonate through the placenta and through direct contact with infection tissue at birth -lesions of herpes heal spontaneously no cure for herpes infection
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Human papilloma virus (HPV)
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infection of the skin and mucous membrane usually shows up as a genital wart or condyloma in the anogenital region which can cause related cancers in both males and females -vaccine is developed that offers protection against four types of ____ ____ ___
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syphilis
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sexually transmitted disease caused by a spirochete characteried by distinct stages that mark its progression illness can affect any organ system and can be congenital (able to pass through placenta)
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spirochete
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spiral-shaped bacterium
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primary syphilis
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first stage of syphilis which is accompanied by the appearance of a chancre
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chancre
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red, bloodless ulcer on the external genitals
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secondary syphilis
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after several months, this stage includes papulosquamous eruptions or erythematous papules, hair loss, swelling of the lymph nodes, and bone and join pain
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tertiary syphilis
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late stage of syphilis where damage to the central nervous and cardiovascular system may occur, and the disease may lead to death if not treated
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penile
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pertaining to the penis
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balanitis
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inflammation of the glans penis caused by overgrowth of yeast or bacteria
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Digital rectal examination (DRE)
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finger palpation of the prostate gland through the rectum. Doctors are able to palpate prostate for nodules or enlargement
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prostate-specific antigen (PSA) assay
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helps to identify prostate cancer by checking for elevated levels of PSA in blood.
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PSA
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a protein produced by the prostate and elevated in patients with cancer *with prostate cnacer patients, PSA is almsot always elevated to some degree, but an elevation in PSA could also indicate other conditions such as prostatitis or BPH
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prostatic acid phosphatase (PAP)
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elevated levels of ____ pinpoints cnacer of the prostate
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transrectal ultrasound (TRUS)
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uses sound waves to help visualize prostate gland to assess suspicious areas and to guide placement of biopsy needle
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TNM staging system (and Gleason scoring system)
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used to determine how aggressive cancer is
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laboratory culture
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STDS (like gonorrhea) confirmed through a _______ ___ of the urethral or vaginal secretions. infection is treated with antibiotics
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semen analysis
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microscopic examination of the semen to determine the number, motility, and shape of the sperm cells or spermatozoa is an essential part of fertility studies (less than 20million sperm/mL of semen designates a state of infertility or sterility)
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Rapid plasma reagin (RPR) test
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used to detect syphilis
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chemotherapy
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______ or drug treament is an option for nonseminomatous tumors.
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surgical ligation
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tying off, of the spermatic vein treats varicocele
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hydrocelectomy
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treats hydrocele a needle and syring are used to aspirate or remove the fluidic mass
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circumcision
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phimosis is treated with this the surgical removal of the prepuce (foreskin)
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orchiopexy
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surgical procedure used to mobilie and attach the testes, fixing them in place to preven retraction
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pexy
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fixation; put in palce
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orchiectomy
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removal of testis
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vasectomy
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incision is made into scrotum and vas deferens which surgicall cut and tied off for the purpose of steriliation
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vasovasostomy
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surgical opertion to reopen the vessel by rejoining two ends of the severed vas deferens
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semen analysis
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help to check efficiency of vasectomy evaluates semen for number, motility, and shape
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transurethral resection of the prostate gland (TURP)
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resectoscope is inserted through the urethra, an electrical hot-loop destroys prostatic tissue, and these portions of the gladn are removed through the resectoscope
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resectoscope
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an instrument used to excise prostatic tissue
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photo-selective vaporization of the prostate (green-light PVP)
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new alternative procedure to fix BPH
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transurethral incision of the prostate (TUIP)
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urethra is widened by means of a small incision in the bladder neck and prostate gland
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transurethral microwave thermotherapy (TUMT)
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heat capable of eliminating excess prostatic tissue is delivered to a desginated area using a device called a prostatron
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transurethral needle ablation (TUNA)
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uses low-level radiofrequency energy toe eliminate excess cells
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medications
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a variety of _________have been approved for the relief of BPH symptoms.
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prostatectomy
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removal of the prostate gland
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castration
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surgical excision of the testicles **can reduce production and secretion of hormones that stimulate growth of malignant cells
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cryogenic surgery
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uses cryosurgery to freeze and thus kill cells that are hard to reach even in a radical prostatectomy
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retropubic approach
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a 6-inch incision below the umbilicus allows prostate gland removal, along with pelvic lymph node dissection.
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perineal approach
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the prostate is removed through an incision between the anus and scrotum (the perineum); while this does minimize visible scarring, this procedure does mean that a separate incision is required if the lymph nodes are to be removed
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suprapubic prostatectomy
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involves an abdominal incision above (supra-) the symphysis pubis
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laparoscopic approach
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used in some settings. It entails several tiny (1-inch) incisions, with a larger one made for actual removal of the prostate from the body; however, the long-term benefits are still being investigated.
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adjuvant hormone therapy
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If PSA levels rise or there is evidence of metastasis ____ ______ _____ is used to minimize recurrence of cancer
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cry/o
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cold
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