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Disorders of the Male Reproductive System01:20

Disorders of the Male Reproductive System

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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.
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Urinary Tract Infection I: Introduction01:26

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Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
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Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

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...
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Anatomy of the Genitourinary System II: Bladder and Urethra01:19

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The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
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Nursing Assessment of the Genitourinary System I: Health History01:21

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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,...
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Urinary Tract Infection IV: Nursing Management01:17

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In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
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Updated: Sep 15, 2025

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
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Lower Urinary Tract Symptoms in Men: A Review.

John T Wei1, Casey A Dauw1, Casey N Brodsky1

  • 1Department of Urology, University of Michigan, Ann Arbor.

JAMA
|July 14, 2025
PubMed
Summary

Lower urinary tract symptoms (LUTS) affect many older men, often due to benign prostatic hyperplasia (BPH). Treatments range from behavioral changes and medications to surgery, improving quality of life.

Area of Science:

  • Urology
  • Men's Health
  • Geriatrics

Background:

  • Lower urinary tract symptoms (LUTS) affect up to 40% of men over 50.
  • Symptoms include urinary urgency, nocturia, and weak stream, impacting quality of life.
  • LUTS can lead to serious complications like urinary retention and kidney insufficiency.

Purpose of the Study:

  • To review the causes and treatments for LUTS in men.
  • To discuss the efficacy of various therapeutic approaches.

Main Methods:

  • Review of current literature on LUTS management.
  • Analysis of behavioral therapies, pharmacologic agents, and surgical interventions.

Main Results:

  • Behavioral therapies (pelvic floor PT, timed voiding) offer symptomatic improvement.

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  • Medications like alpha-blockers, 5-ARIs, and PDE5 inhibitors improve LUTS, with combination therapy being more effective.
  • Surgical options, including TURP and minimally invasive procedures, are effective for refractory cases, with varying complication rates.

    • Conclusions:

    • LUTS are common in aging men, primarily caused by BPH or overactive bladder.
    • First-line treatments include behavioral and pharmacologic therapies.
    • Surgical interventions provide effective solutions for complex or persistent symptoms.