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Most infections of the male reproductive tract are sexually transmitted diseases (STDs), listed in Display 14-1. As men age, the prostate gland commonly enlarges, a condition known as benign prostatic hyperplasia (BPH). Medications for increasing urinary flow rate by relaxing smooth muscle in the prostate and bladder neck are used to treat the symptoms of BPH.
Causes inflammation of the liver, which may be acute or may develop into a chronic carrier state. It is fairly common that one or both testes will fail to descend into the scrotum by the time of birth. Erectile dysfunction, also called impotence, is the male lack of ability to perform intercourse because of failure to initiate or maintain an erection until ejaculation. Drugs that are used to treat erectile dysfunction work by dilating arteries in the penis to increase blood flow to that organ. The inguinal canal, through which the testis descends, may represent a weakness in the abdominal wall that can lead to a hernia. The most common STD in the United States is caused by the bacterium Chlamydia trachomatis, which, in males, mainly causes urethritis.
Infection usually centers in the urethra, causing urethritis with burning, a purulent discharge, and dysuria.
Although not cancerous, this overgrown tissue can press on the urethra near the bladder and interfere with urination.
An herbal remedy that seems to act in this same manner is an extract of the berries of the saw palmetto, a low-growing palm tree. When this is performed through the urethra, the procedure is called a transurethral resection of the prostate (TURP) (Fig. Only lung cancer and colon cancer cause more cancer-related deaths in men who are past middle age.
Its causes may be hereditary, hormonal, disease-related, or the result of exposure to chemical or physical agents. The disorder may be broadly characterized as psy-chogenic, in which case it is caused by emotional factors, or organic, caused by some physical problem such as an anatomic defect or circulatory problem. This same organism also causes lymphogranuloma venereum, an STD associated with lymphadenopathy, which is rare in the United States.


Mumps is a non-sexually transmitted viral disease that can infect the testes and lead to sterility. Urinary retention, infection, and other complications may follow if an obstruction is not corrected. Vaginal discharge and inflammation of the cervix (cervicitis) in women, leading to pelvic inflammatory disease (PID).
More specifically, neurogenic impotence results from a disorder of the nervous system, such as a central nervous system lesion, paralysis, or neurologic damage complicating diabetes. Penile vacuum pumps and penile prostheses are nondrug approaches to therapy for erectile dysfunction. 14-4), an abdominal organ, usually the intestine, enters the inguinal canal and may extend into the scrotum. Gonorrhea is treated with antibiotics, but there has been rapid development of resistance to these drugs by gonococci. Other microorganisms can infect the reproductive tract as well, causing urethritis, prostatitis, orchitis, or epididymitis. The prostate may also be cut in a transurethral incision of the prostate (TUIP) to reduce pressure on the urethra (see Fig.
If not, it must be corrected surgically to avoid sterility and an increased risk of cancer. Men may be voluntarily sterilized by cutting and sealing the vas deferens on both sides in a vasectomy (see Fig.
In a direct or internal inguinal hernia, the organ protrudes through the abdominal wall into the scrotum. Other forms of energy, such as a laser beam or heat, have also been used to destroy prostatic tissue.
This prostate-specific antigen (PSA) is used, along with rectal examinations, to screen for prostate cancer and to assess the results of treatment.



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12.07.2014, author: admin


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