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  • Contributing Factors and Treatment of Benign Prostatic Hyperplasia

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    Sarah Ronquillo
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    This document summarizes the causes, signs and symptoms, diagnosis, and management of benign prostatic hyperplasia (BPH). It lists several predisposing factors that contribute to BPH including age, hypertension, diabetes, and diet. The main cause is believed to be an increased sensitivity to estrogens and decreased testosterone compared to estrogens. Signs and symptoms include urinary frequency, hesitancy, and retention. Diagnosis involves physical exams, urinalysis, PSA levels, and ultrasounds. Management includes medications, surgery, monitoring intake and output, and lifestyle changes to improve quality of life and prevent complications like urinary retention, infections, and kidney damage.

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    47223788 Benign Prostatic Hyperplasia Concept Map

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    This document summarizes the causes, signs and symptoms, diagnosis, and management of benign prostatic hyperplasia (BPH). It lists several predisposing factors that contribute to BPH including age, hypertension, diabetes, and diet. The main cause is believed to be an increased sensitivity to estrogens and decreased testosterone compared to estrogens. Signs and symptoms include urinary frequency, hesitancy, and retention. Diagnosis involves physical exams, urinalysis, PSA levels, and ultrasounds. Management includes medications, surgery, monitoring intake and output, and lifestyle changes to improve quality of life and prevent complications like urinary retention, infections, and kidney damage.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    364 views1 page

    Contributing Factors and Treatment of Benign Prostatic Hyperplasia

    Uploaded by

    Sarah Ronquillo
    This document summarizes the causes, signs and symptoms, diagnosis, and management of benign prostatic hyperplasia (BPH). It lists several predisposing factors that contribute to BPH including age, hypertension, diabetes, and diet. The main cause is believed to be an increased sensitivity to estrogens and decreased testosterone compared to estrogens. Signs and symptoms include urinary frequency, hesitancy, and retention. Diagnosis involves physical exams, urinalysis, PSA levels, and ultrasounds. Management includes medications, surgery, monitoring intake and output, and lifestyle changes to improve quality of life and prevent complications like urinary retention, infections, and kidney damage.

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    © All Rights Reserved
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    of 1

    PREDISPOSING Contributes to MAIN CAUSE Contributes to PRECIPITATING

    Age (middle aged & elderly) Idiopathic Smoking


    Hypertension Believed to be caused by: Excessive alcohol consumption
    Diabetes Presence of 5α dehydrotestosterone
    Obesity
    Western Diet (↑Animal fat & CHON, ↑sensitivity to estrogens
    Reduced Activity level
    ↓testosterone compared to estrogens
    ↓Fiber)
    Heart Disease

    ETIOLOGY/CAUSES Leads to PATHOPHYSIOLOGY


    MANIFESTATIONS (Simple Pathophysiology of BPH)

    ↓Prostatic cell Hyperplasia of the


    death prostate (excessive
    growth of new cells)
    Signs &
    Symptoms More prostatic cells ↑size of the
    can be acted upon by prostate
    DHT
    Urinary frequency, urgency & Fatigue
    hesitancy Anorexia
    Nocturia Nausea Obstruction of
    ↓volume & force of urinary urine flow
    Vomiting
    stream Pelvic discomfort
    Dribbling
    Recurrent UTI’s ↑Pressure in the Urinary retention
    Bladder

    Diagnostics
    Benign Prostatic COMPLICATIONS
    Physical Assessment Laboratory exams Hyperplasia
    Urinalysis Gradual dilatation Gradual dilatation
    Patient voiding diary May indicate hematuria & UTI of the Ureters of the kidneys
    Markedly ↓volume, force of PSA
    urinary stream & flow rate Elevated results indicates Hydroureter: Hydronephrosis:
    Digital Rectal Exam malignancy Urinary stasis in the Urinary stasis in the
    Reveals large rubbery & non- Ultrasound examination ureters kidney
    tender gland Hydronephrosis & enlargement of Favors growth of Favors growth of
    Measurement of post-void- the prostate bacteria bacteria
    CBC
    residual urine
    Elevated in patients having
    ↑than normal UTI/nephritis Pyelonephritis Urinary insufficiency

    Inability of the
    kidneys to function
    properly
    Uremia/Azotemia:
    NURSING SURGICAL MEDICAL Includes MANAGEMENT Accumulation of metabolic
    waste(especially nitrogenous
    Urinary Catheterization substances) in the blood
    Administer
    Due to inability of kidneys to
    Administer due medications TURP Testosterone Ablating Main Goals filter blood properly
    Monitor Intake and output Suprapubic agents
    Provide Rest Administer of 5α
    prostatectomy ↑Quality of life
    Provide emotional support reductase inhibitors
    Encourage Verbalization of Retropubic Improve urine flow
    Administer α If Chronic
    feelings Prostatectomy Relieve obstruction Uremic
    adrenergic blocking
    Perineal agents Prevent disease progression poisoning
    Postatectomy Renal Failure
    ↓complication
    Death
    [Type text]

    By: Jason A. Adoyogan, SN (FCU-CN)

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