male genitourinary problems Flashcards
benign prostrate hyperplasia
*men over 50
*new growth of epithelial tissue around prostrate
because of endocrine changes
*does not predispose to cancer of the prostrate
clinical manifestations of bph
- dribbling
- acute urinary retention or decrease flow
- hesitancy in initiating voiding
- feeling of incomplete bladder emptying
- nocturia
- dysuria
- urgency
complications of bph
- uti
- hydonephrosis
- pyleonephritis
pharm management of bph
*drugs that block testosterone formation which
causes regression of the hyperplastic tissue and
decrease the size of prostrate:
proscar: long term management
*drugs that relax smooth muscle and increase
urinary flow:
minipress
hytrin
flomax
theraputic management of bph
*non surgical invasive management
-prostatic balloon drive
-tulip(transuretheral ultrasound guided laser
induced prostatectomy (removing prostrate
w/laser up to urethra (use stints)
*surgical invasive management: turp
complications of prostrate surgery
- hemorrhage is #1
- infection
- bladder spasms
- urinary retention
- erectile dysfunction
Post op management for prostrate surgery
*cbi to prevent blood clots (continuous bladder
irrigation
*blood clots are normal 24- 36 hrs after surgery
*maintain fluid intake between 2-3L/day
*good foley care
*stool softeners (do not strain-hemorrhage)
*high fiber diets
*cath removed 2-4 days after surgery
should urinate 6 hrs after removal
*avoid rectal temp or enemas
patient teaching after prostrate surgery
- no intercourse for 6 weeks
- no heavy lifting for 6-8 weeks
- avoid sitting/walking prolong periods
- drink at least 1-2L/fluid daily
- urinate at least every 2-3 hrs
- kegel exercises
- use incontinent briefs for dribbling
- yearly rectal exam
nursing diagnosis
- acute pain
- risk for infection
- fear
- urge urinary incontinence
- hemmorrhage
