By Dr PZ Buthelezi-Mlambo
 Under
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scented testis
occurs on 30% of premature
and 4% term born babies
6/12 tend to descent on its
own in half of babies
if spontaneous descending
doesn’t occur the surgical
treatment is indicated because
the undescended testes may
be damage which could affect
fertility later or lead to
medical problems
Retractile testes is normal
condition in which testes
reside in scrotum but
temporary retract or pull back
into the groin
Causes:
 Injury

Treatment: (Depends on
causes)
Underlying medical condition:egFor example:
---testicular cancer
 Infection: antibiotics
-vericocel (abnormal enlarged  If vercocele, hernia or
veins in scroutum,
hydrocele: surgery
- orchitis( inflammation of
 Testicular cancer: will
testes)
depend on severity of
-congestive of heart failure
cancer . Eg. chemotherapy
or radiotherapy
 Accumalazation of
fluid(Hydrocele)
May be painless or very painful
which is serious and needs
emergency treatment mainly caused

by
=testicular torsions: injury that
causes testicles in scrotal sac to twist
which cuts off blood circulation

Phimosis->
Inability to retract
the foreskin behind the glans
Types:
1.Physiological phimosis in which
children are born with a tight
foreskins and separation occurs
during late childhood and early
adolescence
2. Pathological Phimosis occurs due
to infection, inflammation or
scarring usually found in
uncircumcised adult men
Causes: Physiological phimosis is
present at birth and resolve without
interventions.
-Patholgical is caused by: scarring,
balanitis , underlying medical risk
factors
Symptoms: inability to retract
foreskins which leads to difficult in
cleaning the area which can cause
balanitis which is painful urination,
painful erection, itchy glans
Paraphimosis: occurs when the
fore skin once retracted cannot return
to its original location, the skin is
trapped behind the groove of the
coronal sulcus
Treatment: Circumcision
 it can reduce the risk of caner of
penis
 it can reduce the risk of urinary
track infection
 lower the risk of certain sexual
transmitted disease eg HIV
 lower the risk of cancer of cervix
in sexual partners

Definition: Regular or repeated
inability to obtain or maintain an
erection
Causes
1. Psychological causes:- performance anxiety
-stress
8. Aging- four times higher in
man in the 60’s
9. Ascernic poisoning –from
contaminated water
Complications:-relationship
difficulties ending in
2. smoking is the key cause of impotencedivorcing/Adultery, low selfesteem
and erectile dysfunction, it causes
Treatment: eg arterial narrowing
-mental disorder
3.Hypertension
4.Diabeites Mellitus
5.Cholesteremia
6. Obesity
1.Viagra, - Dynafil, Cialis
2.njections(mans clinic)
3.Penile prosthesis
4. Reconstructive surgery
7 Trauma from prostatectomy surgery
6. Hormonal insufficiency (hypogonadism)
Risk factors: Age 50 yrs and older- undergo a
 Definition: Second most common yearly digital rectal examination and blood testing
form of cancer that develops in thefor Prostatic specific antigen
prostate which is slow growing . - Family history of prostate cancer…. Start
screening at age 40yrs
Prostate is a gland in the male
reproductive system that makes and - Obesity
store seminal fluid.
- High blood pressure
 Signs and Symptoms:
- African( black)
1.Difficulty initiating and stopping
- STI( Gonorrhoea, syphilis)
urine stream
- prostatis
2.Frequent urination
Nutritional Recommendation:
3. Pain or burning urination
Soya, Vegetables, fish and low in calories or fat
4.Nocturia (increase urination at
food, fruits, garlic, tomatoes, olive oil
night)
Treatment: depends on the stage of cancer
5. Haemturia
6. Pain on ejaculation
-watchful waiting or active surveillance
6. Bladder obstruction – not urinating -Surgery
- radiation therapy
or urinating very little despite
-Hormone therapy
– biologic therapy
drinking enough fluids
7.Backache pains eg. Hips or thighs -Bisphosphonate therapy - targeted therapy
 Know
your health status with an annual
medical check-up
 Know your ideal weight and maintain
 Watch your salt
 Do not smoke
 Take medicines as prescribed by your doctors
 see your doctor regularly
 Exercise regularly
 Live a healthy life