Predisposing Risk Factors
• Gender: Male
• Age: 83 year old
• Medical Conditions:
Diabetes Mellitus Type 2
Hypertension Stage 2 –
Uncontrolled,
Hypertensive
Cardiovascular Disease
• Blood high in cholesterol
• Smoker for 67 years
Nodules (hyperplasia & hypertrophy) form
Laboratory Findings:
• Elevated Uric Acid =
583umol/L
• Enlarged Prostate Gland =
weight is 20grams with 35
cm3 in size
Nursing Management
• Encourage fluids up to
3000mL
• Monitor Vital Signs
• Reduce patient anxiety
• Relieve patient discomfort
• Provide pre-op instructions
• Maintain fluid Balance
• Help patient deal with
psychosocial concern
Back to good
well-being
Successful
Operation
Failure Unsuccessful
to void Operation
BENIGN PROSTATIC
HYPERPLASIA
Definition: condition in men in
which the prostate gland is
enlarged; proliferation of the
cellular elements of prostate
in the inner prostate
Urethra is compressed
Bladder Outlet Obstruction
Difficulty initiating micturition;
Dribbling
Incomplete emptying of the Bladder
Detrusors instability/decreased
compliance
Chronic retention of urine
and inability to completely
empty the bladder
Further growth
of prostate gland
Diagnostic Testing
• Physical Exam
• Urine Test
• Blood Test
• Cystoscopy
Medical Treatment
• Transurethral
Incision of the
Prostate (TUIP)
Precipitating Risk Factors
• Lifestyle: Sedentary
• Diet: Ate chocolates
every after meal
Non-BPH causes of
obstruction
Detrusors Aging Effects
Urinary Bladder Malignancy
Signs and Symptoms
• Urinary frequency and
urgency (at least 10-15 times
per day)
• Blood in the Urine
(Hematuria)
• Nocturia
Complications
• Bladder Damage
• Possible Kidney Damage
• Hematuria
Medical Treatment
• Transurethral
Resection of
the Bladder
(TURB)