Home | | Nursing General 12th Std | Benign Prostatic Hyperplasia (BPH)

Definition, Causes, Signs and Symptoms, Diagnosis, management - Benign Prostatic Hyperplasia (BPH) | 12th Nursing : Chapter 2 : Medical Surgical and Applied Nursing Management Psychology of Human Diseases

Chapter: 12th Nursing : Chapter 2 : Medical Surgical and Applied Nursing Management Psychology of Human Diseases

Benign Prostatic Hyperplasia (BPH)

A benign (not cancer) condition in which an over growth of prostane tissue pushes against the urethra and bladder, blocking the flow of urine.

Benign Prostatic Hyperplasia (BPH)

Prostrate is a gland about the size of a walnut and is present only in males. It lies below the urinary bladder and surrounds the urethra. The prostate secrete a fluid that helps to nourish sperm as part of the semen (ejaculatory fluid). It is a noncancerous enlargement or hypertrophy of the prostate.

 

Definition

A benign (not cancer) condition in which an over growth of prostane tissue pushes against the urethra and bladder, blocking the flow of urine.

Risk factors

               Aging occurs after 50- 80 years.

               Family history

               Obesity

               Diabetes

               Heart diseases.

               Diabetes and heart diseases and use of beta blockers

               Obesity

               Ethnicity Black men may get symptoms at a younger age.

 

Causes

               Hormonal changes androgen/estrogen imbalance

               Neoplastic theory is of all the elements of prostoke

               Frequency

 

Signs and Symptoms

               Hesitancy, urgency, weak stream and straining to pass urine

               Nocturia

               Acute retention of urine

               Chronic retention of urine

               Dribbling or leaking during urination after urination

 

Diagnosis

               History collection

               Physical examination -digital rectal exam to check the size and shape of the prostate.

               Urine culture and sensitivity to rule out infection

               Uroflowmetry: Urine flow test to measure the urine stream.

               Measurement of post voidal residual volume

               PSA (Prostate-Specific Antigen) blood test. High PSA levels are a sign of a large prostate.

               Ultra Sonogram

               Biopsy to rule out cancer.

               Cystocopy as part of treatment.

 

Management

Medical

               Alpha blockers- relax the muscles of the prostate and neck of the bladder.

               5-Alpha Reductase Inhibitors (5-ARIs)-shrinks the prostate and prevents additional growth.

               Phosphodiesterase 5 Inhibitors (PDE5 inhibitors) - relieves the symptoms and increases the flow rate of urine

Surgical

               Transvesical suprapubic Prostatectomy

               Transurethral resection of the prostate (TURP)

               Retropubic prostatectomy.

Nursing

               Ensure patient voids at regular intervals

               Provide warm environment as cold worsens the symptoms

Lifestyle changes:

               Exercise to strengthen the pelvic floor muscles

               Reduce the intake of fluids in the night before going to bed

               Avoid caffeine and alcohol

Complications

               Urinary tract infection(UTI)

               Renal stone

               Bladder outlet obstruction

               Renal failure.

 

Tags : Definition, Causes, Signs and Symptoms, Diagnosis, management , 12th Nursing : Chapter 2 : Medical Surgical and Applied Nursing Management Psychology of Human Diseases
Study Material, Lecturing Notes, Assignment, Reference, Wiki description explanation, brief detail
12th Nursing : Chapter 2 : Medical Surgical and Applied Nursing Management Psychology of Human Diseases : Benign Prostatic Hyperplasia (BPH) | Definition, Causes, Signs and Symptoms, Diagnosis, management

Related Topics

12th Nursing : Chapter 2 : Medical Surgical and Applied Nursing Management Psychology of Human Diseases


Privacy Policy, Terms and Conditions, DMCA Policy and Compliant

Copyright © 2018-2024 BrainKart.com; All Rights Reserved. Developed by Therithal info, Chennai.