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Chapter 4 – Male Reproductive System – Study Guide The “factory” of the sperm (where they are produced) are the testis. The pathway of the sperm is through the vas deferens and around the bladder, then joining the urethra and opening to the outside of the body through the penis. Semen is the fluid that surrounds and carries the sperm outside the body. Terminology – 1. 2. 3. 4. 5. 6. 7. 8. Balanitis –Inflammation of the penis Orchitis –Inflammation of a testis Orchiectomy –Removal (excision) of a testis Orchidectomy –Removal (excision) of a testis Prostatectomy –Removal (excision) of the prostate gland Scrotal –Pertaining to the scrotum Urethritis –Inflammation of the urethra Vasectomy –Removing a piece of each vas deferens and tying off each end Pathology – 1. Benign prostatic hyperplasia –Noncancerous enlargement of the prostate gland. Also called benign prostatic hypertrophy 2. Cryptorchism –Condition of undescended testis. The testis is not in the scrotal sac at birth. Crypt/o Hidden 3. Hydrocele –Sac of clear fluid in the scrotum. Hydr/o Water 4. Prostatic carcinoma –Cancer of the prostate gland 5. Sexually transmitted disease –These affect both males and females and are infections spread by sexual or other genital contact. E.g. Chlamydial infection, gonorrhea, herpes genitalis and syphilis 6. Testicular carcinoma –Malignant tumor of the testis. e.g. seminoma (Malignant tumor within the testis) 7. Varicocele –Enlarged, swollen veins near a testicle. Varic/o Swollen Veins Laboratory Tests and Diagnostic Procedure – 1. Digital rectal examination (DRE) –Examination of the prostate gland with finger palpation through the rectum 2. Prostate-specific antigen (PSA) –Measurement of the amount of psa in the blood 3. Higher than normal levels are associated with prostatic enlargement and prostate cancer 4. Semen Analysis –Measurement of the number, shape and motility (ability to move) of sperm cells Treatment Procedures – 1. Orchiopexy –Surgical fixation of an undescended testicle in a young male infant 2. Transurethral resection of the prostate gland (TURP) –The removal of portions of the prostate gland with an endoscope inserted into the urethra. Photoselective vaporization of the prostate (greenlight pvp) is a newer technique that uses a laser to treat benign prostatic hyperplasia 3. Vasectomy –A Procedure in which the vas deferens on each side is cut, a piece is removed and the free ends are folded and ligated with sutures. Vasectomy produces sterilization so that sperm are not released with semen.