Male Reproductive

Question 1

discuss benign prostatic hyperplasia

Answer 1

bascially the prostate gland is enlarged which leads to a disruption of urine from the bladder

Question 2

what causes benign prostatic hyperplasia?

Answer 2

usually hormonal changes due to aging but other factors contribute like smoking, drinking etc…

Question 3

what are clinical manifestations of benign prostatic hyperplasia?

Answer 3

complications usually arise from urinary obstructions and complications are relatively uncommon

Question 4

how do we test for benign prostatic hyperplasia?

Answer 4

palpate the prostate gland by the digital rectal examination

Question 5

discuss Transurethral Resection of the Prostate
(TURP)

Answer 5

Removal of prostate tissue using a resectoscope
inserted through the urethra

basically in-dwelling catheter with 30-mL balloon inserted into the
bladder to provide hemostasis and facilitate urinary drainage
* Bladder irrigated continuously or intermittently x 24 hours to prevent
obstruction from mucus and blood clots

watch YouTube video for explanation

Question 6

what are some post-operative care for benign prostatic hyperplasia?

Answer 6

1) continuous bladder irrigation with sterile normal saline
NOTE:
- Rate of infusion based on color of drainage
- Urine drainage should be light pink without clots
- If outflow < inflow, assess bladder immediately and check catheter patency

2) blood clots are EXPECTED for the first 24-36 hours

3) irrigation requires aseptic technique

4) 50 mL irrigation solution

Question 7

what is prostate cancer?

Answer 7

malignant tumour of the prostate gland

Question 8

what are the early symptoms of prostate cancer?

Answer 8

its asymptomatic in the early stages

Question 9

what is a key symptom in the late stages?

Answer 9

pain in lumbosacral area that radiates down to hips or legs + urinary symptoms may indicate metastasis

Question 10

what tests are done for prostate cancer?

Answer 10

digital rectal examination; it may feel hard, nodular and asymmetrical

Question 11

when is prostate cancer curable?

Answer 11

in the early stages

Question 12

what tools are used to “cure” this type of cancer?

Answer 12

1) radial prostatectomy
2) cryotherapy - destroys cancers by freezing the tissue
3) orchiectomy (for metastatic disease) - surgical removal of testes

OR

radiation (2 types)
1) external beam
2) brachytherapy - placement of radioactive seeds in prostate gland

Question 13

discuss radial prostatectomy

Answer 13

this is when the prostate gland, seminal vesicles and part of the bladder neck are surgically removed.

2 types:
1) retropubic ( lay flat on back and go in through the pubic bone above the penis
2) perineal (lay down on back and penis is lifted and go through anal)

after, indwelling catheter with 30mL is inserted and left in place for 1-2 fees .

you can get erectile dysfunction as a complication damn damn LOL
watch YouTube video

Question 14

what is prostatitis?

Answer 14

acute or chronic inflammation of the prostate gland . bacteria reaches the prostate gland from other parts of the body

Question 15

what are the clinical manifestations and inter professional management for prostatitis?

Answer 15

• fever, chills, urinary symptoms
• antibiotics using and high fluid intake