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Disorders of the Male Reproductive System

Disorders of the Male Reproductive System

Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra. Symptoms...

Nursing Assessment of the Genitourinary System I: Health History

Nursing Assessment of the Genitourinary System I: Health History

The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...

Disorders of the Urinary System

Disorders of the Urinary System

The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
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Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

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A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...

Urologic Endoscopic Procedure: Cystoscopic Examination

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Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...

Nursing Assessment of the Genitourinary System II: Inspection and Palpation

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The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...

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Updated: Jul 8, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy

Retzius-Sparing Robot-Assisted Radical Prostatectomy

Published on: May 19, 2022

Urinary, sexual, and bowel dysfunction and bother after radical prostatectomy.

Bryan A Weber¹, Beverly L Roberts, Neale R Chumbler

¹University of Florida, Gainesville, FL, USA.

Urologic Nursing

|January 26, 2008

Summary

Radical prostatectomy can cause urinary, sexual, and bowel dysfunction. While sexual dysfunction is most common, urinary incontinence causes the most bother for men after treatment.

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Last Updated: Jul 8, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy

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Published on: May 19, 2022

Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser

Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser

Published on: May 9, 2018

Area of Science:

Urology
Oncology
Patient-Reported Outcomes

Background:

Radical prostatectomy (RP) leads to significant urinary, sexual, and bowel dysfunction compared to other prostate cancer treatments.
These physical side effects cause bother, defined as annoyance or discomfort, impacting quality of life post-treatment.

Purpose of the Study:

To evaluate the connection between post-RP urinary, sexual, and bowel dysfunction and the bother experienced by patients.
To identify which physical dysfunction causes the most significant bother after radical prostatectomy.

Main Methods:

A survey of 72 men was conducted 6 weeks after undergoing radical prostatectomy.
Validated instruments measured self-efficacy, social support, uncertainty, and physical function/bother (UCLA Prostate Cancer Index).

Main Results:

Sexual dysfunction presented with the highest prevalence among side effects following RP.
Urinary dysfunction, specifically incontinence, was identified as the most bothersome physical issue.

Conclusions:

Men undergoing RP prioritize survival benefits over potential physical dysfunction without fully understanding the associated bother.
Informing patients about the persistent nature of physical symptoms and their associated bother after RP is crucial for managing expectations.