The Male Reproductive System - Ian Peate - E-Book

The Male Reproductive System E-Book

Ian Peate

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PEATE’S BODY SYSTEMS
THE MALE REPRODUCTIVE SYSTEM

A CONCISE, ILLUSTRATED, AND ACCESSIBLE GUIDE TO THE MALE REPRODUCTIVE SYSTEM

Each of the twelve volumes in Peate’s Body Systems series is rooted in the belief that a deep and thorough understanding of the human body is essential for providing the highest standard of care. Offering clear, accessible and up-to-date information on different body systems, this series bridges the gap between complex scientific concepts and practical, everyday applications in health and care settings. This series makes for an invaluable resource for those committed to understanding the intricacies of human biology, physiology and the various systems that sustain life.

The Male Reproductive System is the perfect companion for students and newly registered practitioners across nursing and allied health fields with an interest in male reproductive health, providing a comprehensive yet easy-to-digest guide for both academic and clinical application.

  • Equips healthcare students and practitioners with the necessary information to provide safe and competent care
  • Features colourful illustrations to aid comprehension, clarify complicated concepts, and render content more engaging and accessible
  • Empowers readers to adapt to a rapidly evolving healthcare landscape, preparing them for the future of healthcare delivery
  • Contains information necessary for effective patient care of those with testicular torsion, Lower Urinary Tract Symptoms (LUTS), prostate cancer, and other male reproductive diseases and conditions

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Seitenzahl: 315

Veröffentlichungsjahr: 2025

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Table of Contents

Cover

Table of Contents

Title Page

Copyright

Preface

Acknowledgements

Chapter 1 The Anatomy and Physiology: The Male Reproductive System

Production, Maintenance and Transportation of Male Sperm and Seminal Fluid

Ejaculation of Semen from the Penis

Production and Secretion of Male Sex Hormones

Integration with Other Body Systems

The Scrotum

The Testes

Spermatogenesis

Sperm

Epididymis

The Vas Deferens, Spermatic Cord and Ejaculatory Duct

The Seminal Vesicles

The Prostate Gland

The Zones of the Prostate Gland

Surfaces of the Prostate Gland

Prostate Gland Function

Structures Located Around the Prostate Gland

Prostate-Specific Antigen

The Penis

Hormonal Control of Male Reproduction

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 2 Assessment of the Male Reproductive System

Men’s Health

Inclusive Healthcare

Assessing Needs

The History

Subjective Objective Data

The Physical Examination

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 3 Testicular Torsion

Pathophysiological Changes Associated with Testicular Torsion

Epidemiology

Risk Factors

Extravaginal

Intravaginal

Clinical Presentation

Clinical Investigations and Diagnosis

Management

Health Teaching

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 4 Lower Urinary Tract Symptoms

Pathophysiological Changes Associated with LUTS

Epidemiology

Risk Factors

Clinical Presentation

Storage Symptoms

Voiding Symptoms

Post-micturition Symptoms

Clinical Investigations and Diagnosis

Management

Health Teaching

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 5 Penile Disorders

Pathophysiological Changes Associated with Peyronie’s Disease

Epidemiology

Risk Factors

Clinical Presentation

Clinical Investigations and Diagnosis

Management

Health Teaching

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 6 Prostate Cancer

Cancer

Trans Women

Screening for Prostate Cancer

Pathophysiological Changes Associated with Prostate Cancer

Epidemiology

Risk Factors

Clinical Presentation

Clinical Investigations and Diagnosis

Management

Prostate Cancer Stages

Histological Grading

Treatment Options

Supporting Patients

Health Teaching

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 7 Erectile Dysfunction

The Erectile Process

Pathophysiological Changes Associated with ED

Primary and Secondary ED

Epidemiology

Risk Factors

Clinical Presentation

Clinical Investigations and Diagnosis

Management

Treatment

Health Teaching

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Chapter 8 Male Infertility

Pathophysiological Changes Associated with Male Infertility

Congenital Causes

Anatomical Causes

Pathological Causes

Sexual Causes

Acquired Causes

Epidemiology

Risk Factors

Clinical Presentation

Clinical Investigations and Diagnosis

Physical Examination

Semen Analysis

Management

Sperm Banking and Fertility Preservation

Health Teaching

Conclusion

Glossary of Terms

Multiple Choice Questions

References

Index

End User License Agreement

List of Illustrations

Chapter 1

Figure 1.1 The male reproductive system.

Figure 1.2 The scrotal sac and testes.

Figure 1.3 A testicle, seminiferous tubules.

Figure 1.4 Spermatogenesis.

Figure 1.5 The sequential steps involved in spermatogenesis.

Figure 1.6 The components of a sperm.

Figure 1.7 The prostate gland.

Figure 1.8 The anatomy of the penis.

Figure 1.9 Primary and secondary sex characteristics.

Figure 1.10 Negative feedback system associated with the control of testosterone in the bl...

Chapter 2

Figure 2.1 Palpation for inguinal hernia.

Chapter 3

Figure 3.1 Testicular torsion.

Chapter 4

Figure 4.1 The male lower urinary tract, disease or dysfunction related to LUTS.

Figure 4.2 Risk factors.

Figure 4.3 Frequency volume chart.

Figure 4.4 Bladder distension.

Chapter 6

Figure 6.1 The prostate gland is located at the apex of the urinary bladder, surrounding ...

Figure 6.2 Symptoms and syndromes of prostate cancer.

Chapter 7

Figure 7.1 The arterial blood supply to the penis.

Figure 7.2 Vascular events controlling erection.

Chapter 8

Figure 8.1 History and examination of the male in relation to infertility.

List of Tables

Chapter 2

Table 2.1 Men-specific health issues

Table 2.2 Subjective and objective data related to a man’s reproductive health

Table 2.3 Palpation, percussion, auscultation and inspection techniques

Chapter 3

Table 3.1 Some risk factors associated with testicular torsion

Table 3.2 Differentiation clinical features

Table 3.3 The cremasteric reflex and Prehn’s sign

Chapter 4

Table 4.1 Storage, voiding and post-micturition symptoms

Table 4.2 Pathophysiological changes associated with non-neurogenic lower urinary trac...

Table 4.3 An overview of risk factors associated with lower urinary tract symptoms (L...

Table 4.4 Some common investigations associated with a diagnosis of lower urinary trac...

Chapter 5

Table 5.1 Contributory factors associated with Peyronie’s disease

Table 5.2 Risk factors associated with Peyronie’s disease

Table 5.3 The physical examination

Table 5.4 Some key health teaching needs for men with Peyronie’s disease

Chapter 6

Table 6.1 Modifiable and non-modifiable risk factors associated with prostate cancer

Table 6.2 Clinical presentation of prostate cancer

Table 6.3 The physical examination

Table 6.4 The physical examination

Table 6.5 The Gleason system

Table 6.6 Common management strategies associated with prostate cancer

Table 6.7 Supportive strategies for patients making decisions regarding treatment for pr...

Chapter 7

Table 7.1 Ejaculatory disorders

Table 7.2 Distinctions in erectile dysfunction (ED)

Table 7.3 Risk factors associated with erectile dysfunction (ED)

Table 7.4 Advantages and disadvantages that may be associated with penile implants

Chapter 8

Table 8.1 Risk factors associated with male infertility

Table 8.2 Components of the male reproductive physical examination

Table 8.3. Semen analysis: normal findings

Guide

Cover

Table of Contents

Title Page

Copyright

Preface

Acknowledgements

Begin Reading

Index

End User License Agreement

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Peate’s Body Systems

The Male Reproductive System

Ian Peate, OBE FRCN EN(G) RGN DipN(Lond) RNT BEd(Hons) MA(Lond) LLM

Editor in Chief, British Journal of Nursing;

Consultant Editor, Journal of Paramedic Practice;

Consultant Editor, International Journal for Advancing Practice;

Visiting Professor, Northumbria University;

Visiting Professor, Buckinghamshire New University;

Professorial Fellow, University of Roehampton;

Visiting Senior Clinical Fellow, University of Hertfordshire

This edition first published 2025.

©2025, John Wiley & Sons Ltd

All rights reserved, including rights for text and data mining and training of artificial intelligence technologies or similar technologies. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by law. Advice on how to obtain permission to reuse material from this title is available at http://www.wiley.com/go/permissions.

The right of Ian Peate to be identified as the author of this work has been asserted in accordance with law.

Registered Office(s)

John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, USA

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For details of our global editorial offices, customer services, and more information about Wiley products visit us at www.wiley.com.

Wiley also publishes its books in a variety of electronic formats and by print-on-demand. Some content that appears in standard print versions of this book may not be available in other formats.

Trademarks: Wiley and the Wiley logo are trademarks or registered trademarks of John Wiley & Sons, Inc. and/or its affiliates in the United States and other countries and may not be used without written permission. All other trademarks are the property of their respective owners. John Wiley & Sons, Inc. is not associated with any product or vendor mentioned in this book.

Limit of Liability/Disclaimer of Warranty

The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting scientific method, diagnosis, or treatment by physicians for any particular patient. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. While the publisher and authors have used their best efforts in preparing this work, they make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives, written sales materials or promotional statements for this work. This work is sold with the understanding that the publisher is not engaged in rendering professional services. The advice and strategies contained herein may not be suitable for your situation. You should consult with a specialist where appropriate. The fact that an organization, website, or product is referred to in this work as a citation and/or potential source of further information does not mean that the publisher and authors endorse the information or services the organization, website, or product may provide or recommendations it may make. Further, readers should be aware that websites listed in this work may have changed or disappeared between when this work was written and when it is read. Neither the publisher nor authors shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.

Library of Congress Cataloging-in-Publication Data

Names: Peate, Ian, author.

Title: The male reproductive system / Ian Peate, OBE FRCN EN(G) RGN DipN(Lond) RNT Bed BEd (Hons) MA(Lond) LLM Editor in Chief, British Journal of Nursing; Consultant Editor, Journal of Paramedic Practice; Consultant Editor, International Journal for Advancing Practice; Visiting Professor, Northumbria University; Visiting Professor, St Georges University of London and Kingston University London; Professorial Fellow, Roehampton University; Visiting Senior Clinical Fellow, University of Hertfordshire.

Description: Hoboken, NJ : John Wiley & Sons Ltd, 2025. | Series: Peate’s body systems | Includes bibliographical references and index.

Identifiers: LCCN 2024041166 | ISBN 9781394252565 | ISBN 9781394252572 (epub) | ISBN 9781394252589 (adobe pdf)

Subjects: LCSH: Generative organs, Male–Textbooks.

Classification: LCC QP253 .P43 2025 | DDC 616.6/92071–dc23/eng/20241218

LC record available at https://lccn.loc.gov/2024041166

Cover Images: © marinashevchenko/Adobe Stock, © phototechno/Getty Images, © 4luck/Adobe Stock, © Oleksandr Pokusai/Adobe Stock

Cover Design: Wiley

Preface

Welcome to Peate’s Body Systems; there are 12 books in the series. This is a comprehensive collection of textbooks designed to support and enrich the knowledge of health and care workers across various fields. This series is intended to be a valuable resource for those who are dedicated to understanding the intricacies of human biology, physiology and the various systems that sustain life.

Peate’s Body Systems series is rooted in the belief that a deep and thorough understanding of the human body is essential for providing the highest standard of care. Each book in this series is thoroughly crafted to offer clear, accurate and up-to-date information on different body systems. The aim is to bridge the gap between complex scientific concepts and practical, everyday applications in healthcare settings.

Purpose and Scope

The purpose of this series is to provide health and care workers with:

Foundational knowledge, with explanations of the anatomical structures and physiological functions of the body systems

Insights into how these systems interact with each other and how they are impacted by various diseases and conditions, highlighting clinical relevance and encouraging practical application

Structure of the Series

Each book in Peate’s Body Systems focuses on a specific body system:

The Cardiovascular System

The Respiratory System

The Digestive System

The Renal System

The Nervous System

The Endocrine System

The Female Reproductive System

The Male Reproductive System

The Musculoskeletal System

The Skin

The Ear, Nose and Throat

The Eyes

Every chapter is designed to be comprehensive yet accessible, making complex information easier to digest and apply. Figures, tables, boxes, illustrations and flowcharts have been extensively used to support visual learning and reinforce key concepts.

This series is tailored for:

Healthcare students: those in nursing and allied health programmes

Practicing professionals: nurses, therapists and other care workers seeking to deepen their understanding and stay current with the latest developments in health and care

Educators and trainers: educators who require reliable and comprehensive teaching materials to advise and instruct the next generation of healthcare providers

Commitment to Excellence.

The series is committed to providing quality educational resources that not only inform but also inspire and empower health and care workers. By equipping you with a robust understanding of the systems of life, you will be better prepared to make informed decisions, deliver compassionate care and ultimately improve patient outcomes.

Thank you for choosing Peate’s Body Systems as your trusted resource. I hope these textbooks serve as a valuable tool in your ongoing journey of learning and professional development.

Ian Peate

London

Acknowledgements

I would like to acknowledge the help and support of my partner Jussi Lahtinen. Acknowledgements also go to staff at the RCN Library in London. My thanks go to Tom Marriott, Christabel Daniel Raj, Bhavya Boopathi and all those at Wiley.