What are the 4 factors that contribute to BPH?
Common risk factors for BPH
- Family history.
- Ethnic background. BPH can affect men of all ethnic backgrounds.
- Diabetes. Research suggests that diabetes has an important role in the development of BPH.
- Heart disease. Heart disease doesn’t cause BPH.
- Obesity.
- Inactivity.
- Erectile dysfunction.
What are some nursing interventions that may be required when caring for a client with BPH?
Preoperative and postoperative nursing interventions for a patient with BPH are as follows:
- Reduce anxiety. The nurse should familiarize the patient with the preoperative and postoperative routines and initiate measures to reduce anxiety.
- Relieve discomfort.
- Provide instruction.
- Maintain fluid balance.
What are the nursing management of BPH?
Urinary Retention
| Nursing Interventions | Rationale |
|---|---|
| Provide and encourage meticulous catheter and perineal care. | Reduces risk of ascending infection. |
| Recommend sitz bath as indicated. | Promotes muscle relaxation, decreases edema, and may enhance voiding effort. |
| Administer medications as indicated: |
How do you assess a patient with BPH?
Diagnosis
- Digital rectal exam. The doctor inserts a finger into the rectum to check your prostate for enlargement.
- Urine test. Analyzing a sample of your urine can help rule out an infection or other conditions that can cause similar symptoms.
- Blood test.
- Prostate-specific antigen (PSA) blood test.
What are the complications of BPH?
Complications
- Sudden inability to urinate (urinary retention). You might need to have a tube (catheter) inserted into your bladder to drain the urine.
- Urinary tract infections (UTIs).
- Bladder stones.
- Bladder damage.
- Kidney damage.
Which is main complication after surgery in BPH?
Possible complications retrograde ejaculation, a nondangerous condition that occurs when semen flows into your bladder. bleeding during surgery, which may require a transfusion. surgical site infection. incontinence.
What is the prognosis of BPH?
Symptoms, as well as objective measurements of urethral obstruction, can remain stable for many years and may even improve over time for as many as one-third of men, according to some studies. In a study from the Mayo Clinic, urinary symptoms did not worsen over a 3.5-year period in 73% of men with mild BPH.
When is TURP indicated?
TURP is often recommended when prostate enlargement causes troublesome symptoms and fails to respond to treatment with medication. Symptoms that may improve after TURP include: problems with starting to pee. a weak flow of pee, or stopping and starting.
What is the pathogenesis of BPH?
BPH involves the stromal and epithelial elements of the prostate arising in the periurethral and transition zones of the gland (see Pathophysiology). The hyperplasia presumably results in enlargement of the prostate that may restrict the flow of urine from the bladder.