MALE REPRODUCTIVE SYSTEM
BPH – Benign Prostatic Hyperplasia
ED – Erectile Dysfunction
A vasectomy is the surgical procedure performed on men in which the vas deferens (the tubes that carry the sperm from the testicles to the seminal vesicles) are cut, ties or cauterized.
The semen no longer contains sperm after the tubes are cut, so conception cannot occur. The testicles continue to produce sperm, but they die and are absorbed by the body.
There are 4 types of vasectomies:
Traditional vasectomy – the doctor will make an incision on the scrotum, allowing access to the vas deferens, which will then be cut. No-scalpel vasectomy – the doctor cut the vas deferens via a small hole on the scrotum. Clip vasectomy – small clamps are used to block the vas deferens instead of severing it. Laser vasectomy – the vase deferens are cut and cauterized with a surgical laser
The vasectomy procedure prevents the release of sperm when a man ejaculates. The man will still produce semen, but will be sperm free.
Vasectomies may be reversed, however, this procedure should be considered permanent as there is no guarantee of successful reversal.
Following the procedure, ice packs are often applied to the scrotum to reduce swelling and decrease pain and the wearing of a scrotal supporter for 3-4 days.
Mild over-the-counter medications such as aspirin or acetaminophen should be able to control any discomfort.
A semen specimen will be examined and found to be free of sperm after at least a month from the procedure before the male can rely on the vasectomy for birth control
Vasectomies are more than 99% effective assuming that there is no sperm in the semen.
It takes approximately 3 months (10-20 ejaculations) after a vasectomy
BPH – Benign Prostatic Hyperplasia
BPH is the enlargement of the prostate gland.
BPH happens to almost all men as they get older. As the prostate gland grows, it can press on the urethra and cause urination and bladder problems.
It is not cancer, and it does not raise the risk for prostate cancer.
The cause of BPH is unknown.
Men who have had their testicles removed at a young age (for example, as a result of testicular cancer) do not develop BPH.
If the testicles are removed after a man develops BPH, the prostate will begin to shrink in size.
Less than half of all men with BPH have symptoms of the disease. Symptoms may include: Inability to urinate
Needing to urinate 2 or more times in a night
Blood in the urine
Straining to urinate
Scanty urination stream
To determine BPH, the doctor will ask the patient about his medical history and do a rectal exam to feel the prostate gland. Other tests might be recommended as well: Prostate-specific antigen (PSA) blood test to screen for prostate cancer Urine flow rate
Urinalysis or Urine culture to check for infection
Self-care and medications can be used to treat mild cases of BPH. Avoiding alcohol and caffeine
Alpha 1-blockers - relaxes the muscles of the bladder neck and prostate, allowing for easier urination Finasteride and dutasteride – lowers to hormones produced by the prostate, reducing the size of the gland
Prostate surgery may be recommended if you have:
Frequent blood in the urine
Inability to fully empty the bladder
Recurrent urinary tract infections
Decreasing kidney function
BPH – Benign Prostatic Hyperplasia (con’t)
The surgical procedure is usually based on the severity of your symptoms and the size and shape of your prostate gland:...
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