BENIGN PROSTATIC HYPERTROPHY (BPH) AND PROSTATECTOMY

Question 1

As the prostate enlarges it compresses the

____ and causes urinary ______.

Answer 1

Urethra, retention

Question 2

At what age does BPH occur?

Answer 2

Men over 50 years of age

Question 3

What does BPH stand for?

Answer 3

Benign Prostatic Hypertrophy

Question 4

In BPH the man has (increased/decreased)

frequency of urination.

Answer 4

Increased

Question 5

In BPH the force of the urinary stream is

increased/decreased

Answer 5

Decreased

Question 6

The man with BPH has a _____-stream of

urine.

Answer 6

Forked

Question 7

The man with BPH has hesitancy. What

does this mean?

Answer 7

Difficulty starting to void

Question 8

Will the man with BPH have enuresis,

nocturia, or hematuria?

Answer 8

Enuresis – no, Nocturia – yes, and Hematuria

– maybe

Question 9

What is the best way to screen men for

BPH?

Answer 9

Digital rectal exam

Question 10

Should fluids be forced or restricted in

BPH?

Answer 10

Forced

Question 11

What does TURP stand for?

Answer 11

Transurethral resection of the prostate

Question 12

The most radical prostate surgery is the

______ prostatectomy.

Answer 12

Perineal

Question 13

What type of diet is used in BPH?

Answer 13

Acid ash

Question 14

What is the primary purpose of a 3-way
continuous bladder irrigation (CBI) after
TURP?

Answer 14

To keep the catheter clear of clots and to

drain urine

Question 15

What solution is used for CBI?

Answer 15

What solution is used for CBI?

Question 16

How fast do you run the CBI?

Answer 16

At whatever rate it takes to keep the urine

flowing and free of clots.

Question 17

What drug is used to treat bladder spasm?

Answer 17

B&O suppositories

Question 18

Should you take a rectal temp after

prostatectomy? Give stool softeners?

Answer 18

No, rectal temperature, Yes, stool softeners.

Question 19

You should call the MD after TURP when
you see _____ thick ______,
_______clots, and ______ urine drainage
on the dressing.

Answer 19

Bright thick blood, persistent clots, persistent
urine on dressing (don’t call MD for
transitory clots and urine on dressing).

Question 20

If you see an increase in the blood content
of urine coming out of the catheter, you
would first ______.

Answer 20

Pull carefully on the catheter to apply local

pressure on the prostate with Foley balloons.

Question 21

If you see clots in the tubing you would

first _______.

Answer 21

Increase the flow-rate

Question 22

What exercises should the postprostatectomy patient do upon discharge?
Why?

Answer 22

Perineal exercises, start and stop stream of
urine, because dribbling is a common but
temporary problem post-operatively

Question 23

Will the post-prostatectomy patient be

impotent?

Answer 23

If TURP, no impotence, if prostatectomy, yes

impotence.