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male exam discussion - erectile dysfx lumps in groin or...

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Male Genitalia Lisa Z. Killinger, DC
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Development ■ Infants/Children -Testes may not descend until early infancy. Separation of prepuce from glans may not occur until age 4. ■ Adolescents -Pubic hair and scrotum enlarges and darkens. Prostate and penis both enlarge. ■ Elderly -Pubic hair ↓ . Sperm still produced, but viability may ↓ . Ejac. Vol. may ↑ increase, erection and orgasm ↓
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Normal variations ■ Children – penis/scrotum size variation, – edema in scrotum of newborn, – non-descended testicle, – transient erections, – foreskin non-retractable
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Adults/Older Adults ■ Dorsal vein apparent ■ Lumps in scrotal skin ■ Color variation in scrotum, pubic hair ■ Elderly-more pendulous scrotum (gravity?) ■ Thinning of pubic hair in old age
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Common Concerns ■ Children -hygiene related rashes, burning at urethral meatus, self - exploration ■ Adolescents -Nocturnal ejaculation, sexual desires and experimentation, lumps... ■ Adults -Infertility, hernias, discharge,
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Unformatted text preview: erectile dysfx, lumps in groin or testes ■ Elderly-Erectile dysfx, prostate problems Recommendations. .. ■ Kids-Educate about hygiene and normal anatomical changes ■ Adolescents-Educate “ anatomy, function, etc”, educate/ask about STDs ■ Adults-Educate about natural fertility boosters, or natural pregnancy prevention strategies, assess for cancer risks/signs, encourage regular self exam Recommendations -cont. .. ■ Elderly- Educate about: – normal aging changes, – risks/signs of prostate CA, Colon CA, etc. – erectile dysfx causes, and – medication use/side effects. More Serious Concerns ■ Children – hernias, – hydrocele, – penile enlargement (w/o testicular enlargement), – epispadius (may need to be repaired) Adults ■ Balanopsothosis ■ Balanitis ■ Penile discharge ■ Lesions on penis, glans, etc (STDs) ■ Priapism ■ Irreg testes or vas deferens texture...
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