Benign Prostatic Hyperplasia Flashcards
(5 cards)
What is it?
who gets it?
What are symptoms like?
Enlargement of prostate gland leading to disruption of urine outflow from bladder to urethra
50% of men have signs of it by 50; 70% by 60-69
similar to LUTS —> how to tell apart?
- difficulty starting urine stream
- decreased/weaker flow of urine
- urinary frequency
Complications of BPH
Pretty rare
Acute urinary retention
- sudden and painful inability to urinate
- treatment involves catheter insertion or surgery if severe
UTI
- incomplete bladder emptying/residual urine allows for bacterial growth
- if it gets bad, can lead to pyelonephritis, sepsis, or bladder calculi
Renal failure
- caused by hydronephrosis
- bladder damage
- ***basically urine backs up, kidneys don’t make more urine, the body thinks they’re not needed - shuts them down
Transurethral resection of prostate (TURP)
- what is it?
- postprocedure?
A procedure involving the removal of prostate tissue using a resectoscope through the urethra
Postprocedure: 3 way indwelling catheter with 30 mL balloon inserted for hemostasis and to facilitate urinary drainage
- continuous or intermittent irrigation for first 24 hrs if lots of blood and clots
- works great! decreases symptoms and increases urine flow
TURP risks
Low risk, but still some
TUR or TURP syndrome = nausea, vomiting, confusion, HTN, bradycardia
-results from hyponatremia due to longer operative times and prolonged intraoperative bladder irrigation with iso-osmolar fluid; now use ipolar rectoscope and saline to reduce risk
Bleeding and clot retention - other possible postop complications
Retrograde ejaculation often happens
Dif bt BPH and cancer?
BPH involves enlargement of inside of prostate, while cancer involves enlargement of outside
