LUTS and BPH Flashcards
nonspecific term for symptoms which may be attributable to lower urinary tract dysfunction
luts (used to be known as prostatism)
Name the 2 main groups of LUTS and the previous used terminology for both
– Storage LUTS (previously called irritative symptoms)
– Voiding LUTS (previously called obstructive symptoms)
a delay between the voluntary attempt to void and the actual initiation of urination
hesitnacy
poor urinary flow ,common symptom of BPH
weak stream
linked to weak urinary stream and frequently
accompanied by straining of abdominal muscles upon urination
prolonged voiding
involuntary disruption of the urinary stream during voiding
intermittency
may be accompanied by the continued desire to void or by pain or discomfort in the bladder area
incomplete emptying
inability to effectively terminate voiding
terminal dribbling
FIRST ACT IN VOIDING
relaxation of sphincter, which u can’t do when I’m being my literal self in the bathroom stalls
associated with bladder irritation that presents as a need to void repeatedly during the day,more than 7 times
urinary frequency
What might be a cause of urinary freq?
infection
the need to void during sleeping hours more than once
nocturia
the need to urinate immediately
urgency
involuntary loss of urine preceded by strong desire to urinate
urge incontinence
Name the 4 storage LUTS symtoms
urinary frequency, urge, urge incontinence, nocturia
Name the 6 symptoms of voiding LUTS
Hesitancy, weak urinary stream, prolonged voiding, intermittency, incomplete emptying, terminal dribbling
What are stirctly female causes of LUTS
Uterine prolaspe, cytocele, local extension of cancer of the cervix
BPH, LUTS, BOO, put these in order
BPH –> BOO –> LUTS
Where (specific location) is BPH often seenin the postate
transitional zone
almost 80% of BPH have no problems at all, T of F
TRUE
First BPH symptom is
hesitancy- progressive
risk in men 51-60
50%
risk in men older than 80
90%
At which age do 50% of men compain of clinical BPH
75
Compensatoryhypertrophied,trabeculatedbladderwall, detrusor muscle instability leads to
storage LUTS
Static and dynamic compentn lead to
voiding LUTS
direct bladder outlet obstruction from the enlarged gland
static
increased smooth muscle tone and resistance within the enlarged gland
dynamic
Whats the most important aspect of Dx
HISTORY BITCH
Name drugs that cause urinary retention
anticholinergic/ sympathomimetic drugs
renal failure without symptoms
azotemia
renal failure with symptoms
uremia
In surgical treamtment, which symptoms improve faster
voiding > storage
What are the indications for surgical treatment of BPH?
Refractory/Recuurent whatever, bladder stones, renal insufficiency, increaing post-void residul volume (duh)
Whats the gold standard for obstructive BPH
TURP
what type of anesthesia is needed for TURP?
spinal/general
Whats the highest to lowest risks of TURP
retrograde ejaculation (75%) > impotence (10%) > incontinence
name the minimal invasive procedures
anything with transurethral other than TURP & photoselctive vaporization
Hyperplastic growth that characterises benign prostatic hyperplasia occurs in which of the following anatomical zones of the prostate? A) Central B) Peripheral C) Transitional D) Posterior
C
Which of the following receptors are present in high concentration in the prostate? A) Cholinergic receptors B) α adrenoceptor C) β adrenoceptor D) All the above
B
What is the relationship between prostate cancer and the condition of an enlarged prostate, also known as BPH
A) BPH causes prostatic cancer
B) BPH is a symptom of prostatic cancer
C) BPH and prostatic cancer are unrelated
C
The nurse is administering a psychotropic drug to an elderly client who has history of benign prostatic hypertrophy. It is most important for the nurse to teach this client to: A) Report incomplete bladder emptying B) Exercise more C) Take it on bedtime D) Eat more fibers
A
A client is admitted to the hospital with benign prostatic hyperplasia, the nurse most relevant assessment would be:
A) Perineal edema B)Urethral discharge
C) Distention of the lower abdomen D)Flank pain radiating in the groin
C
