Andrology & Gynecology for Studs

BOYS (Andrology)

Impotence

"My baby just couldn't get it up because he drank"

Prostatitis

Chronic

"The blond, angelic graduate student, a 'sworn heterosexual' (whatever that means...), suffering from chronic prostatitis (I wonder how he got it...) used a dildo to internally massage his prostate and thus relieve his pain and discomfort"

Penis Fracture

As I was leaving for work today, I whisked by my downstairs neighbor's door and noticed that he was standing there naked, and although I am a sworn heterosexual, I couldn't help but notice his massive pecs, his hard abs and his huge burrito (in fact, the sauce from his burrito was running down the corner of his mouth). These, in conjunction with his manly voice and his studly demeanor make him HOT.

In fact, I heard that just the other day he got a penis fracture from having too much rough sex, and was subsequently rushed to the emergency room, where he was subjected to a retrograde urethrogram, followed by surgical repair of his tube steak.

Orchitis

'My post-pubertal baby's right ball was painful and swollen; what it orchitis secondary to mumps? Thankfully it rarely causes sterility since it is unilateral'

Testicular Cancer

Men are jerks and therefore their testicular cancers are predominantly (97%) germ-cell tumors

BREAST DISEASES

■ Fibroadenoma ® young woman ( child baring age ) ® firm, rubbery mass,
moves easily on palpation (Breast mouse ) ® sonogram of breast (best
diagnostic Test ) ® Tx: Surgical Excision (optional)
■ Cystosarcoma Phyllodes ® young woman ® very large mass ® benign but has
potential to become malignant ® core / Incisional biopsy ® Tx: Surgical
removal (mandatory)
■ Fibrocystic Disease ® multiple bilateral breast cysts “come & go” at different
time in menstrual cycle ® mammogram (first step) ® if persistent / dominant
mass ® Aspiration (not FNA) ® still persist ® biopsy; if bloody fluid on
Aspiration ® cytology
■ Intraductal Papilloma ® young woman with bloody nipple discharge ®
mammogram ® galactogram guided surgical resection
■ Breast Abscess ® lactating mother ® fever, leucocytosis, fluctuating red, hot,
tender mass in breast ® Tx: Incision & Drainage with biopsy of the abscess
wall
■ Breast cancer ® mammogram (irregular area of increased density with fine
microcalcification) with core biopsy ® Lumpectomy with Axillary node
sampling + Post-op-radiation ( small tumor , away from nipple and areola ) /
Modified radical mastectomy (best choice)
 If unresectable ® chemotherapy
 If Axillary node positive ® chemotherapy
 If hormone receptor sensitive ® Add Tamoxifen (Pre-menopausal) /
Anastrazole (post-menopausal)
 Breast cancer signs & Symptoms ® palpable breast mass, retraction of
overlying skin, retraction of nipple, (“orange peel” skin), palpable Axillary nodes.
■ Ductal carcinoma in situ ® cannot metastasize ( No Axillary sampling ) .
˗ Tx : Total simple mastectomy / Lumpectomy + Post-op- radiation
 Tubular Breast CA ® Best prognosis
 Inflammatory Breast CA ®worst prognosis
 Infiltrating Ductal CA ® most common
 Lobular CA ® high incidence of bilateral involvement
 Other types ® Medullary, Mucinous
 Breast CA during pregnancy : same procedure for diagnosis as without
pregnancy
● Tx : same as without pregnancy except No chemotherapy in first trimester ,
No Radiotherapy during entire pregnancy .
● There is no need for termination of pregnancy

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Andrology & Gynecology for Studs

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BOYS (Andrology)

Testicular Cancer

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PMS

VAGINA

Vaginitis

Dysfunctional Uterine Bleeding

Bartholin's Cyst

Cervicitis

Adenomyosis

Ovaries

Pelvic Inflammatory Disease

BREAST DISEASES

Wednesday, February 3, 2010

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