BENIGN PROSTATIC HYPERTROPHY (BPH) AND PROSTATECTOMY Flashcards
As the prostate enlarges it compresses the
____ and causes urinary ______.
Urethra, retention
At what age does BPH occur?
Men over 50 years of age
What does BPH stand for?
Benign Prostatic Hypertrophy
In BPH the man has (increased/decreased)
frequency of urination.
Increased
In BPH the force of the urinary stream is
increased/decreased
Decreased
The man with BPH has a _____-stream of
urine.
Forked
The man with BPH has hesitancy. What
does this mean?
Difficulty starting to void
Will the man with BPH have enuresis,
nocturia, or hematuria?
Enuresis – no, Nocturia – yes, and Hematuria
– maybe
What is the best way to screen men for
BPH?
Digital rectal exam
Should fluids be forced or restricted in
BPH?
Forced
What does TURP stand for?
Transurethral resection of the prostate
The most radical prostate surgery is the
______ prostatectomy.
Perineal
What type of diet is used in BPH?
Acid ash
What is the primary purpose of a 3-way
continuous bladder irrigation (CBI) after
TURP?
To keep the catheter clear of clots and to
drain urine
What solution is used for CBI?
What solution is used for CBI?
How fast do you run the CBI?
At whatever rate it takes to keep the urine
flowing and free of clots.
What drug is used to treat bladder spasm?
B&O suppositories
Should you take a rectal temp after
prostatectomy? Give stool softeners?
No, rectal temperature, Yes, stool softeners.
You should call the MD after TURP when
you see _____ thick ______,
_______clots, and ______ urine drainage
on the dressing.
Bright thick blood, persistent clots, persistent
urine on dressing (don’t call MD for
transitory clots and urine on dressing).
If you see an increase in the blood content
of urine coming out of the catheter, you
would first ______.
Pull carefully on the catheter to apply local
pressure on the prostate with Foley balloons.
If you see clots in the tubing you would
first _______.
Increase the flow-rate
What exercises should the postprostatectomy patient do upon discharge?
Why?
Perineal exercises, start and stop stream of
urine, because dribbling is a common but
temporary problem post-operatively
Will the post-prostatectomy patient be
impotent?
If TURP, no impotence, if prostatectomy, yes
impotence.
