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Flashcards in Male Reproductive Disorders Deck (50)
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1

Benign Prostatic Hyperplasia (BPH)

a common, noncancerous enlargement of the prostate gland

2

What is the most common diagnosis by a urologist for men ages 45-74?

BPH

3

What race is more likely to develop BPH? who is least likely?

-Caucasian and African American men are more likely
-Asian men are least likely

4

What is the prostate?

-Donut/walnut shaped gland located b/t the bladder and the penis

5

What surrounds the urethra for men?

the prostate gland

6

What does the prostate do?

Assists in controlling the flow of urine

7

What happens as the prostate enlarges?

As the prostate enlarges it pinches off the urethra and affects the flow of urine

8

What is the cause of BPH?

-NO known cause
-Theories are: smoking, HTN, Heart disease, Diabetes, or alcohol consumption

9

How may the increase of estrogen enlarge the prostate?

increased estrogen means there is an increase in cell growth which can lead to enlargement

10

Minor S/S of BPH

-difficulty beginning urination
-Weak stream
-hesitancy
-Dribbling of urine upon completion
-"Start Stop" stream

11

Mild S/S of BPH

-Urgency/Frequency
-Incomplete bladder emptying
-Nocturia
-Incontinence

12

Moderate S/S of BPH

-Bladder Outlet Obstruction
-Bladder Stones
-UTI
-Acute Urinary Retention

13

Severe S/S BPH

-Increased renal pressure
-Hydronephrosis
-Hydroureters
-Pyelonephritis
-Acute Kidney Injury

14

How is a diagnosis of BPH made?

-based on symptoms
-Confirmed w/ digital rectal exam
-increase in Prostate Specific Antigen

15

Treatment options for BPH

-"Watch and Wait"
-Annual physicals
-Medications/Herbal remedies
-Surgery
-Catheterization

16

Watch and Wait Method

-used w/ minimal, not bothersome symptoms
-annual follow up w/ rectal exam
-if symptoms worsen they should go and see the doctor

17

What should the nurse educate someone w/ BPH on?

-Avoid OTC antihistamines and decongestants
-Limit caffeine and alcohol intake
-Limit fluid intake, especially 1-2 hours before bed
-Empty the bladder when the urge is felt

18

What medications are typically prescribed for BPH?

-Alpha Adrenergic Blockers
-5 Alpha Reductase Inhibitors

19

Alpha Adrenergic Blockers

Helps the smooth muscles of the prostate to relax, reducing constriction of the urethra and improving urine

20

5-Alpha Reductase Inhibitors

prevents the conversion of testosterone into DHT, shrinking enlarged prostate tissue that may be constricting the urethra

21

What are some examples of 5-Alpha Reductase Inhibitors?

Proscar and Avodart

22

What are some Herbal Remedies for BPH?

-Saw palmetto
-African plum
-Cernilton
-South African star grass

23

What type of catheter would be used for a man with BPH?

Coude Catheter

24

When are you NOT allowed to remove a patient's catheter?

When it was placed by the urologist

25

Saw Palmetto

acts as a 5-Alpha Reductase Inhibitor w/o any sexual complications

26

African Plum

has been found to treat urinary symptoms like frequency and urgency

27

Cernilton

works as an Alpha-Adrenergic blocker and helps to improve urine flow

28

South African Star Grass

help to eliminate urinary symptom

29

If the prostate enlargement is SMALL what is the best surgical option?

Transurethral Resection of the Prostate (TURP)

30

If the enlargement is SMALL to MODERATE what is the best surgical option?

Transurethral Incision of the Prostate (TUIP)