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89 Cards in this Set
- Front
- Back
What are the three columns of vascular erectile tissue of the penis?
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corpus spongiosum, two corpora cavernosum
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THe ____ formsthe bulb of the penis, ending in the glans
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corpus pongiosum
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The ____ is the column of tissue that contains the urethra.
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Corpus spongiosum
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____ are secretions of the glans penis
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smegma
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Covering the testes, except posteriorly, is the ____
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tunica vaginalis
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On the posterolateral surface of each testis is the comma-shaped ____
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Epididymis
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The ___ contains tightly coild spermatic ducts that provide a reservoir for maturation and transport of sperm. From this, the sperm move to the ____
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1. epididymis
2. vas deferens |
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Lymphatics from the penile and scrotal surfaces drain into the ____ nodes.
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Inguinal
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Sexual function depends on what 3 things?
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1. normal levels of testosterone
2. adequate arterial blood flow 3. intact neural innervation |
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The lymphatics of the testes drain to_____
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The abdomen
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The ____ forms a tunnel for the vas deferens through the abdominal muscles.
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Inguinal canal
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What are inguinal hernias?
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When loops of bowel force their way through weak areas of the inguinal canal
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____ may accompany gonococcal and nongonococcal urethritis
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Penile discharge (yellowish in gonococcal, white in non-gonococcal)
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Which infections can be acquired from oral-penile transmission?
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Gonorrhea
Chlamydia Syphilis Herpes |
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How often should men between 15-35 be encouraged to perform testicular self-exams?
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Monthly
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___ is a tight prepuce that cannot be retracted over the glans.
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Phimosis
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What is paraphimosis?
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A tight prepuce that once retracted over the glans cannot return.
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Inflammation of the glans is called ___. Usually secondary to ___
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balanitis
poor hygiene |
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___ is inflammation of the glans and prepuce.
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Balanoposthitis
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Pubic or genital excoriations suggest the possibility of ___
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pubic lice (crabs), or sometimes scabies
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What is hypospadias?
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Congenital, ventral displacement of the meatus on the penis
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Upon compressing the glans between your fingers, there is a profuse, yellow discharge. You suspect
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Gonococcal urethritis
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Normally, compression of the glans produces (White/Clear/yellow/no) discharge
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None
White/Clear = non-gonococcal urethritis |
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Induration along the ventral surface of the penis suggests ___
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urethral stricture, possibly carcinoma
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What is cryptorchidism
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An undescended testicle
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What are common scrotal swellings?
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- indirect inguinal hernias
- hydroceles - scrotal edema |
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Dome-shaped white or yellow papules or nodules on teh scrotum are called ____ and are formed by ___
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epidermoid cysts, formed by occluded follicles filled with keratin debris of follicular epithellium
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A poorly developed scrotum on one or both sides suggests?
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Cryptorchidism
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_____raises possibility of testicular cancer
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Any painless nodule in the testis
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___ is a potentially curable cancer with peak incidence between age 15-35
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Testicular cancer
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Tortuous veins noted to the left when palpating the spermatic cord suggests ___
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varicocele
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A cystic structure in the spermatic corde suggests ___
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hydrocele of the cord
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Swelling in the scrotum other than testicles can be evaluated by ____
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transillumination
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In transillumination, ____ light up with a red glow, while ____ do not
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1. swellings containing serous fluid (hydroceles)
2. those containing blood or tissue (testis, tumor, hernias) |
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A bulge that appears on straining suggests ___
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hernia
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A bulge near the external inguinal ring suggests a ___
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DIRECT inguinal hernia
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A bulge near the internal inguinal ring suggests ___
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INDIRECT inguinal hernia
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What defines an "incarcerated" hernia?
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It's contents cannot be returned to the abdominal cavity
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What is a strangulated hernia?
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Blood supply to the entrapped contents is compromised.
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A congenital displacement of the urethral meatus to the inferior surface of the penis is a ___
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hypospadias
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Scrotal edema may suggest what disease process(es)
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CHF or nephrotic syndrome
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___ is identified by palpable, non-tender, hard plaques found just beneath the skin along the dorsum of the penis.
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Peyronie's Disease
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A male presents with complaints of a crooked, painful erection and you note plaques beneath the skin along the dorsum of the penis. You suspect
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Peyronie's disease
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A ___ is a non-tender, fluid-filled mass within the tunica vaginalis. It transilluminates and the examining fingers can get above the mass within the scrotum.
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Hydrocele
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___ can be identified by an indurated nodule or ulcer, usually nontender. It is usually found in men who are not circumcised, making it less
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Carcinoma of the Penis
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Usually an indirect inguinal hernia that comes through the internal inguinal ring so fingers cannot get above the mass in a ____
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scrotal hernia
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Condylomata acuminata is another term for ____, and is caused by what?
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Genital warts, caused by HPV subtypes 6 or 11
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Identify the condition:
single or multiple papules or plaques of variable shapes; may be round, pointed, or thin and slender. May be raised, flat, or cauliflower like. May disappear without treatment, but can arise on penis, scrotum groin thighs... |
Condylomata Acuminata
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A patient presents with small, scattered or grouped vesicles on glans or shaft of penis, and can appear as erosions if vesicular membrane breaks.
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Genital herpes simplex
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In an older patient presenting with apparent genital herpes, you should be sure to distinguish it from what?
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Genital herpes zoster, candidiasis
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Pt presents with small red papule that becomes a painless erosion up to 2cm. The erosion is clean, red, smooth, and glistening. It heals within 3-8 weeks.
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Primary Syphillis
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The term used to describe the painless erosion of syphillis is ___
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Chancre
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The organism that causes syphilis is ___
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treponema pallidum
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___ is a red papule or pustule initially, then forms a painful deep ulcer with a ragged non-indurated margin. It contains necrotic exudate.
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Chancroid
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The organism responsible for chancroid is ___
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Haemophilus ducreyi
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In ___ the testis is arophied and may lie within the inguinal canal or abdomen resulting in an unfilled scrotum.
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Cryptorchidism
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The risk of testicular cancer is ____ in patients wit cryptorchidism.
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Increased
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In adults, testicular length is usually ____
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3.5-5cm
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The testicles of a pt with Klinefelter's syndrome are usually ____cm
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<2cm
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___ is an acute inflammation of the testis. Testis is painful, tender, and swollen. Scrotum may also be reddened
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Acute orchitis
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Acute orchitis is usually (bilateral/unilateral), and is seen in ____
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unilateral, seen in mumps and other viral infections
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A painless, movable cystic mass just above the testis suggests a ____.
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Spermatocele or epididymal cyst.
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What is the difference between a spermatocele and an epididymal cyst?
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Spermatocele contains sperm. Epididymal cyst does not. Otherwise clinically indistinguishable
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___ refers to varicose veins of the spermatic cord, usually on the left.
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Varicocele of the Spermatic cord
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Pt presents with a Left testicle that feels like there is a soft "bag of worms above it". You suspect
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Varicocele
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In ___ the epididymis is tender and swollen and may not be distinguishable from the testis. Scrtum may be reddened and vas deferens inflamed.
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Acute epididymitis
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A patient presents with painful and swollen genitalia. He was also diagnosed with a urinary tract infection. THe scrotum and vas deferens are inflamed and the scrotum is red. You suspect.
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Acute epididymitis
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____ produces a firm enalargement of the epididymis, sometimes tender, with thickening or beding of the vas deferens
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Chronic inflammation of Tuberculous epididymitis (in pts with tuberculosis)
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___ is a twisting of the testicle on its spermatic cord.
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Torsion
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A 15 y/o male presents with acute onset of severe pain in his scrotum. Scrotum is red and edematous, without a hx of infection or injury.
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Testicular torsion
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What is the most common type of inguinal hernia?
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Indirect
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____ originate above the inguinal ligament, near it's midpoint (internal inguinal ring)
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Indirect inguinal hernias
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A ____ inguinal hernia commonly travels into the scrotum.
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Indirect
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____ inguinal hernias are usually found in men older than 40 and are rare in women
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Direct inguinal hernias
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___ originate above the inguinal ligament, close to the pubic tubercle (near external inguinal ring.
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Direct inguinal hernias
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A direct inguinal hernia _____ travels into the scrotum
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Rarely
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During a hernia exam, the hernia comes down and touches the fingertip if it is a ____
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Indirect inguinal hernia
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During a hernia exam, the hernia bulges anteriorly and pushes the side of the finger forward if it is a _____
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direct inguinal hernia
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___ are the least common type of hernia, and are more common in ____(gender)
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Femoral, women
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A femoral hernia originates _____ the inguinal ligament.
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Below and more laterally
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Femoral hernia may be confused for ___
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swollen lymph nodes
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A femoral hernia _____ travels into the scrotum
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Never
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During hernia exam, the inguinal canal is empty if it is a ____
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femoral hernia.
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____ is more commonly known as "jock itch"
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Tinea cruris
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What is peyronie's disease?
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Causes curvature of the penis caused by inflammation of the tunica albiguinea of the penis resulting in a fibrous plaque
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___ is a prolonged erection
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priapism
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What is the treatment for priapism
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needle aspiration and occasionally phenylephrine
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What does prostatic fluid do?
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it is alkaline so it helps counteract acidity of vaginal canal so sperm can live longer
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BOO refers to ____
AUR refers to ____ |
BOO = bladder outlet obstruction
AUR = acute urinary retention |