Unit 3 Urinary Week 2 Day 5 Part 1 of 3

Helpfulness: 0
Set Details Share
created 7 days ago by buck1365
1 view
Lewis Chapter 54 - Male Reproductive and Genetal Problems ATI Med Surge Chapter 66
updated 6 days ago by buck1365
show moreless
Page to share:
Embed this setcancel
COPY
code changes based on your size selection
Size:
X
Show:
1

Benign Prostatic Hyperplasia

Condition in which the prostate gland increases in size, leading to disruption of the outflow of urine from the bladder through the urethra.

(slide notes)

  • Unknown but though to be associated with hormonal changes due to aging.
  • Unknown if this increases risk of chance of bladder cancer
2

Signs & Symptoms for Benign Prostatic Hyperplasia

LUTS symptoms:

  • Difficult starting stream
  • Decreased flow of urine
  • Urine frequency

(slide notes)

What does this mean for the patient? Recurrent UTI’s and eventually kidney damage.

3

Diagnostic Studies for BPH

  • Urinalysis with culture and sensitivity:
    • To rule out UTI, WBC elevated, bacteria present
  • CBC
    • Low RBC if there is hematuria
    • WBC elevated if sepsis
  • BUN/ Creatinine: Elevated if kidney damage
  • Prostate- Specific Antigen
    • Rules out prostate cancer
  • Digital Rectal Exam
  • Transrectal Ultrasound
4

Treatment for BPH

  • Surgical Procedures:
    • Transurethral needle ablation
    • Stent
    • Transurethral Resection of the prostate (TURP)
      • Most common
  • Malpha-blocker meds
5

Patient Education on BPH

  • Do not drink a lot of fluids at a time
    • it overfill the bladder causes pressure
  • Avoid bladder stimulants
    • Alcohol and Caffeine
    • causes pressure
  • Avoid medications that cause decreased muscle tone: Decongestants, antihistamine
  • DHT hormone reducer (Finasteride)
  • Alpha-Blocking agents: Tamsulosin
    • Relaxes smooth muscle
6

Transurethral Resection of the Prostate (TURP)

  • Using a resectoscope inserted through the urethra, trims away excess prostatic tissue, enlarging passageway of urethra.
  • Epidural/ Spinal Anesthesia
7

PRE-OP for TURP

  • NPO (12 hours)
  • Explain procedure
8

POST-OP for TURP

  • Indwelling three way catheter
    • for irrigation
  • CBI rate should keep urine light pink
    • continues bladder irrigation
  • Ambulation encouraged
  • I & O
  • Monitor vital signs including BUN, Createnine, Hematocrit
  • Medications
    • Pain medications (avoid NSAIDs)
      • it will increase the bleeding
    • Antispasmodics
    • Antibiotics
    • Stool softeners
  • Avoid strenuous activities 2-6 weeks