This action might not be possible to undo. Are you sure you want to continue?
, and stromal( connective tissue). most common problem in the male reprductive system. Typically develops in the inner part of the prostate.
STIMULI (CAUSES) Not fully understood Possible causes: excessive accumulation of dihydroxytesterone, stimulation by estrogen, local growth hormone action, enlargement gradually compress the urethra. Risk factors: Family History- environment – Diet ( high zinc, butter, and margarine) WHAT ARE BEHAVIOURS (S&S) Voiding symptoms: Decrease in caliber of force of urinary stream - Difficulty in initiating urination – Intermittency ( stopping and starting)- Dribbling at end of voiding - Incomplete bladder emptying. Irritative symptoms: Urinary frequency and urgency - Dysuria - Bladder pain Nocturia - Incontinence
NURSING DIAGNOSIS Acute pain - Risk for infection – Fear - Ineffective therapeutic regimen management - Urge urinary incontinence - Hemorrhage Assessment Medications (Estrogen or testosterone supplementation), Surgery or previous treatment for BPH, Voluntary fluid restriction, Nocturia, Urinary urgency, Caliber and force of urinary stream, Hesitancy in initiating voiding, Post-void dribbling, Incontinence, Dysuria, Sensation of incomplete voiding, Anxiety of sexual dysfunction, Older adult male, Distended bladder on palpation; smooth, firm, elastic enlargement of prostate on rectal exam, U/A findings, enlargement on ultrasound
2-3L fluids qd . Only tissue in contact with needle affected) Laser prostatectomy (Delivers a beam that is used for cutting. and vaporization of prostatic tissue. Procedures Long-term catheter use contraindicated because of risk for infection Transurethral resection (TURP) (Removal of prostate tissue using resectoscope inserted through urethra). Administer antibiotics pre-op.Focus is early detection and treatment. which causes death of tissue and relief of obstruction) Transurethral needle ablation (TUNA) (Increases temperature of prostate tissue for localized necrosis. Teach patient need for adequate fluid intake. Observe patient for signs of infection. Teach Kegel exercises. Improvement in 2-3 weeks. acute urinary retention. Facilitates urinary flow. S/E orthostatic hypotension and dizziness Herbal therapy: ) Saw palmetto (Shown to improve urinary symptoms and flow. a-Adrenergic receptor blockers (Promote smooth muscle relaxation in prostate. Dietary intervention. Yearly digital rectal exam (DRE) Drug therapy: 5a-Reducase inhibitors (Reduce size of prostate gland. Long-term effectiveness and ability to prevent complications unknown Invasive therapy indicated for: decrease in urine flow sufficient to cause discomfort. Transurethral microwave therapy (TUMT) (Delivers microwaves directly to prostate in order to raise temperature to 113°. S/E decreased libido. decreased ejaculation). hydronephrosis (distention (dilation) of the kidney with urine). Inform patient of possible complications of procedures. Provide patient opportunity to express concerns of alterations in sexual function. Takes several weeks to reach optimal results) Choice of treatment depends on size and location of prostatic enlargement as well as age and surgical risk Diagnostic test . Discharge instructions on (indwelling catheter. Takes 3-6 months for improvement. Instruct patient with obstructive symptoms to urinate q2-3hr and when first feeling urge (Minimizes urinary stasis). persistent residual urine. Stool softeners to prevent straining. coagulation. Administer antispasmotics . Post-op bladder irrigation to remove blood clots and ensure drainage or urine. Use aseptic technique when using urinary catheter. Low-wave frequency used.Signs and symptoms of UTI). Managing incontinence.
H &Pwith DRE(digital rectal exam) Urinalysis with culture PSA level-lab test Serum creatinine Uroflometry Cystourethroscopy Compilations: Calculi may develop in bladder because of alkalinization of residual urine Hydronephrosis can cause renal failure Pyelonephritis Bladder damage .