PEATE’S BODY SYSTEMS
THE MALE REPRODUCTIVE SYSTEM
A CONCISE, ILLUSTRATED, AND ACCESSIBLE GUIDE TO THE MALE REPRODUCTIVE SYSTEM
Each of the twelve volumes in Peate’s Body Systems series is rooted in the belief that a deep and thorough understanding of the human body is essential for providing the highest standard of care. Offering clear, accessible and up-to-date information on different body systems, this series bridges the gap between complex scientific concepts and practical, everyday applications in health and care settings. This series makes for an invaluable resource for those committed to understanding the intricacies of human biology, physiology and the various systems that sustain life.
The Male Reproductive System is the perfect companion for students and newly registered practitioners across nursing and allied health fields with an interest in male reproductive health, providing a comprehensive yet easy-to-digest guide for both academic and clinical application.
Equips healthcare students and practitioners with the necessary information to provide safe and competent care Features colourful illustrations to aid comprehension, clarify complicated concepts, and render content more engaging and accessible Empowers readers to adapt to a rapidly evolving healthcare landscape, preparing them for the future of healthcare delivery Contains information necessary for effective patient care of those with testicular torsion, Lower Urinary Tract Symptoms (LUTS), prostate cancer, and other male reproductive diseases and conditions
Preface viii Acknowledgements x 1 The Anatomy and Physiology: The Male Reproductive System 1 Production, Maintenance and Transportation of Male Sperm and Seminal Fluid 1 Ejaculation of Semen from the Penis 2 Production and Secretion of Male Sex Hormones 2 Integration with Other Body Systems 2 The Scrotum 3 The Testes 4 Spermatogenesis 5 Sperm 8 Epididymis 9 The Vas Deferens, Spermatic Cord and Ejaculatory Duct 9 The Seminal Vesicles 9 The Prostate Gland 9 The Zones of the Prostate Gland 11 Surfaces of the Prostate Gland 11 Prostate Gland Function 12 Structures Located Around the Prostate Gland 12 Prostate-Specific Antigen 12 The Penis 13 Hormonal Control of Male Reproduction 14 Conclusion 16 Glossary of Terms 17 Multiple Choice Questions 18 References 19 2 Assessment of the Male Reproductive System 20 Men’s Health 20 Inclusive Healthcare 21 Assessing Needs 23 The History 25 Subjective Objective Data 25 The Physical Examination 29 Conclusion 34 Glossary of Terms 35 Multiple Choice Questions 36 References 37 3 Testicular Torsion 39 Pathophysiological Changes Associated with Testicular Torsion 39 Epidemiology 42 Risk Factors 43 Extravaginal 43 Intravaginal 43 Clinical Presentation 44 Clinical Investigations and Diagnosis 48 Management 51 Health Teaching 52 Conclusion 53 Glossary of Terms 53 Multiple Choice Questions 54 References 55 4 Lower Urinary Tract Symptoms 57 Pathophysiological Changes Associated with LUTS 57 Epidemiology 61 Risk Factors 62 Clinical Presentation 64 Storage Symptoms 64 Voiding Symptoms 65 Post-micturition Symptoms 65 Clinical Investigations and Diagnosis 66 Management 71 Health Teaching 73 Conclusion 73 Glossary of Terms 73 Multiple Choice Questions 74 References 76 5 Penile Disorders 77 Pathophysiological Changes Associated with Peyronie’s Disease 77 Epidemiology 78 Risk Factors 79 Clinical Presentation 80 Clinical Investigations and Diagnosis 81 Management 85 Health Teaching 87 Conclusion 88 Glossary of Terms 89 Multiple Choice Questions 90 References 91 6 Prostate Cancer 93 Cancer 93 Trans Women 94 Screening for Prostate Cancer 94 Pathophysiological Changes Associated with Prostate Cancer 94 Epidemiology 96 Risk Factors 98 Clinical Presentation 99 Clinical Investigations and Diagnosis 101 Management 105 Prostate Cancer Stages 105 Histological Grading 107 Treatment Options 107 Supporting Patients 109 Health Teaching 111 Conclusion 111 Glossary of Terms 112 Multiple Choice Questions 113 References 114 7 Erectile Dysfunction 116 The Erectile Process 118 Pathophysiological Changes Associated with ED 119 Primary and Secondary ED 120 Epidemiology 121 Risk Factors 122 Clinical Presentation 123 Contents vii Clinical Investigations and Diagnosis 123 Management 126 Treatment 126 Health Teaching 128 Conclusion 129 Glossary of Terms 130 Multiple Choice Questions 131 References 132 8 Male Infertility 134 Pathophysiological Changes Associated with Male Infertility 134 Congenital Causes 135 Anatomical Causes 135 Pathological Causes 136 Sexual Causes 136 Acquired Causes 137 Epidemiology 137 Risk Factors 138 Clinical Presentation 139 Clinical Investigations and Diagnosis 140 Physical Examination 141 Semen Analysis 144 Management 146 Sperm Banking and Fertility Preservation 147 Health Teaching 148 Conclusion 148 Glossary of Terms 149 Multiple Choice Questions 149 References 151 MCQ Answers 152 Index 153
IAN PEATE is a Visiting Professor at Northumbria University, a Senior Clinical Fellow at the University of Hertfordshire, and a Professorial Fellow at the University of Roehampton. He is also the Editor-in-Chief of the British Journal of Nursing and the Consultant Editor of the Journal of Paramedic Practice and the International Journal of Advancing Practice.
