IAN PEATE is a Visiting Professor at Northumbria University and Buckinghamshire New University and a Senior Clinical Fellow at the University of Hertfordshire. He is also the Editor-in-Chief of the British Journal of Nursing, and Consultant Editor of the Journal of Paramedic Practice and the International Journal of Advancing Practice.

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• Preface viiiAcknowledgements x1 The Anatomy and Physiology of the Male Reproductive System 1Introduction 1The Male Reproductive System 3Spermatogenesis 6Sperm 7Epididymis 8The Vas Deferens, Spermatic Cord and Ejaculatory Duct 9The Seminal Vesicles and Prostate Gland 9Prostate-specific Antigen 11Structure and Function of the Penis 12Anatomical Overview 12Vascular and Neural Control of Erection 13Clinical Considerations 14Hormonal Regulation of Male Reproductive Function 14Clinical Considerations 18onclusion 18Glossary of Terms 18Multiple Choice Questions 20References 212 Engaging with Patients and Assessing the Male Reproductive System 22Introduction 22Trans and Non-binary Patients 23Language and Its Impact 24Promoting Patient-centred Care 25Collaborative Relationships 27Cultural Sensitivity 28Health Literacy 31Assessing the Male Reproductive System 32The Patient History 33Physical Examination 36Tests and Investigations 39Other Observations 41Clinical Judgement 41Documentation 42Conclusion 42Glossary of Terms 43Multiple Choice Questions 44References 463 Health Promotion 48Introduction 48Men's Health and Health Promotion 49The Lifespan 50Key Public Health Issues 51Social Determinants of Health and Inequalities 53The Role of Healthcare Professionals 54Digital Health, Media and Community Engagement 59Workplaces, Sports Settings and Online Communities 59Conclusion 60Glossary of Terms 61Multiple Choice Questions 62References 644 Planning Care: Prostate Cancer Introduction 66Prostate Cancer 67Types of Prostate Cancer 68Pathophysiology of Prostate Cancer 69Patterns of Spread 71Staging of Prostate Cancer 72Clinical Features 75Impact of Advanced Prostate Cancer 77Diagnosing Prostate Cancer 78Emerging Tests 79Communicating the Diagnosis 79Family and Carers 80Planning Care 81Management Options 82Side Effects and Palliative Needs 83Inequality in Prostate Cancer 84Conclusion 85Glossary of Terms 85Multiple Choice Questions 86References 885 Vital Signs 90Introduction 90Vital Signs and Reproductive Health 92Measuring and Interpreting Vital Signs 95Documentation 96Interpretation of Data 97Integrated Clinical Reasoning 98Gender-sensitive Practice 101Social Determinants and Disparities 103Clinical Implications 107Digital Tools 107Conclusion 108Glossary of Terms 108Multiple Choice Questions 109References 1116 Examination of the Prostate Gland 113Introduction 113Anatomy and Physiology Overview 115Clinical Indications and Contraindications 118Communication and Preparation 119Example Phrasing 119Patient Positioning 120 Procedure 123 Complementary Investigations 127Biopsy Techniques and Risk Considerations 127Future Directions in Prostate Assessment 128Managing Embarrassment 129Conclusion 130Glossary of Terms 130Multiple Choice Questions 131References 1327 Sexually Transmitted Infection Screening 134A Note on Terms 134Introduction 134Principles of STI screening in Men 135Target Populations 137Legal, Ethical and Cultural Considerations 137Skills and STI Screening 139Communication Skills 140Clinical Assessment 142General Physical Examination 142Male Genital Examination 142Practical Skills Focus 144Diagnostic Skills 145Laboratory Methods 147Results 147Health Promotion 148Conclusion 149Glossary of Terms 150Multiple Choice Questions 151References 1528 Specimen Collection 154Introduction 154Principles of Specimen Collection 155Infection Prevention and Control 155Consent and Ethical Considerations 158Communication and Patient Engagement 158Sample Handling and Transport 158Semen Collection 159Urine and Urethral Swabs 163Blood Samples 166Documentation, Labelling and Quality Assurance 170Conclusion 172Glossary of Terms 172Multiple Choice Questions 173References 175MCQ Answers 176Index 177

IAN PEATE is a Visiting Professor at Northumbria University and Buckinghamshire New University and a Senior Clinical Fellow at the University of Hertfordshire. He is also the Editor-in-Chief of the British Journal of Nursing, and Consultant Editor of the Journal of Paramedic Practice and the International Journal of Advancing Practice.

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• Preface viiiAcknowledgements x1 The Anatomy and Physiology of the Male Reproductive System 1Introduction 1The Male Reproductive System 3Spermatogenesis 6Sperm 7Epididymis 8The Vas Deferens, Spermatic Cord and Ejaculatory Duct 9The Seminal Vesicles and Prostate Gland 9Prostate-specific Antigen 11Structure and Function of the Penis 12Anatomical Overview 12Vascular and Neural Control of Erection 13Clinical Considerations 14Hormonal Regulation of Male Reproductive Function 14Clinical Considerations 18onclusion 18Glossary of Terms 18Multiple Choice Questions 20References 212 Engaging with Patients and Assessing the Male Reproductive System 22Introduction 22Trans and Non-binary Patients 23Language and Its Impact 24Promoting Patient-centred Care 25Collaborative Relationships 27Cultural Sensitivity 28Health Literacy 31Assessing the Male Reproductive System 32The Patient History 33Physical Examination 36Tests and Investigations 39Other Observations 41Clinical Judgement 41Documentation 42Conclusion 42Glossary of Terms 43Multiple Choice Questions 44References 463 Health Promotion 48Introduction 48Men's Health and Health Promotion 49The Lifespan 50Key Public Health Issues 51Social Determinants of Health and Inequalities 53The Role of Healthcare Professionals 54Digital Health, Media and Community Engagement 59Workplaces, Sports Settings and Online Communities 59Conclusion 60Glossary of Terms 61Multiple Choice Questions 62References 644 Planning Care: Prostate Cancer Introduction 66Prostate Cancer 67Types of Prostate Cancer 68Pathophysiology of Prostate Cancer 69Patterns of Spread 71Staging of Prostate Cancer 72Clinical Features 75Impact of Advanced Prostate Cancer 77Diagnosing Prostate Cancer 78Emerging Tests 79Communicating the Diagnosis 79Family and Carers 80Planning Care 81Management Options 82Side Effects and Palliative Needs 83Inequality in Prostate Cancer 84Conclusion 85Glossary of Terms 85Multiple Choice Questions 86References 885 Vital Signs 90Introduction 90Vital Signs and Reproductive Health 92Measuring and Interpreting Vital Signs 95Documentation 96Interpretation of Data 97Integrated Clinical Reasoning 98Gender-sensitive Practice 101Social Determinants and Disparities 103Clinical Implications 107Digital Tools 107Conclusion 108Glossary of Terms 108Multiple Choice Questions 109References 1116 Examination of the Prostate Gland 113Introduction 113Anatomy and Physiology Overview 115Clinical Indications and Contraindications 118Communication and Preparation 119Example Phrasing 119Patient Positioning 120 Procedure 123 Complementary Investigations 127Biopsy Techniques and Risk Considerations 127Future Directions in Prostate Assessment 128Managing Embarrassment 129Conclusion 130Glossary of Terms 130Multiple Choice Questions 131References 1327 Sexually Transmitted Infection Screening 134A Note on Terms 134Introduction 134Principles of STI screening in Men 135Target Populations 137Legal, Ethical and Cultural Considerations 137Skills and STI Screening 139Communication Skills 140Clinical Assessment 142General Physical Examination 142Male Genital Examination 142Practical Skills Focus 144Diagnostic Skills 145Laboratory Methods 147Results 147Health Promotion 148Conclusion 149Glossary of Terms 150Multiple Choice Questions 151References 1528 Specimen Collection 154Introduction 154Principles of Specimen Collection 155Infection Prevention and Control 155Consent and Ethical Considerations 158Communication and Patient Engagement 158Sample Handling and Transport 158Semen Collection 159Urine and Urethral Swabs 163Blood Samples 166Documentation, Labelling and Quality Assurance 170Conclusion 172Glossary of Terms 172Multiple Choice Questions 173References 175MCQ Answers 176Index 177