Flashcards in Male Reproductive Disorders Deck (50)
Benign Prostatic Hyperplasia (BPH)
a common, noncancerous enlargement of the prostate gland
What is the most common diagnosis by a urologist for men ages 45-74?
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
What is the prostate?
-Donut/walnut shaped gland located b/t the bladder and the penis
What surrounds the urethra for men?
the prostate gland
What does the prostate do?
Assists in controlling the flow of urine
What happens as the prostate enlarges?
As the prostate enlarges it pinches off the urethra and affects the flow of urine
What is the cause of BPH?
-NO known cause
-Theories are: smoking, HTN, Heart disease, Diabetes, or alcohol consumption
How may the increase of estrogen enlarge the prostate?
increased estrogen means there is an increase in cell growth which can lead to enlargement
Minor S/S of BPH
-difficulty beginning urination
-Dribbling of urine upon completion
-"Start Stop" stream
Mild S/S of BPH
-Incomplete bladder emptying
Moderate S/S of BPH
-Bladder Outlet Obstruction
-Acute Urinary Retention
Severe S/S BPH
-Increased renal pressure
-Acute Kidney Injury
How is a diagnosis of BPH made?
-based on symptoms
-Confirmed w/ digital rectal exam
-increase in Prostate Specific Antigen
Treatment options for BPH
-"Watch and Wait"
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
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
What medications are typically prescribed for BPH?
-Alpha Adrenergic Blockers
-5 Alpha Reductase Inhibitors
Alpha Adrenergic Blockers
Helps the smooth muscles of the prostate to relax, reducing constriction of the urethra and improving urine
5-Alpha Reductase Inhibitors
prevents the conversion of testosterone into DHT, shrinking enlarged prostate tissue that may be constricting the urethra
What are some examples of 5-Alpha Reductase Inhibitors?
Proscar and Avodart
What are some Herbal Remedies for BPH?
-South African star grass
What type of catheter would be used for a man with BPH?
When are you NOT allowed to remove a patient's catheter?
When it was placed by the urologist
acts as a 5-Alpha Reductase Inhibitor w/o any sexual complications
has been found to treat urinary symptoms like frequency and urgency
works as an Alpha-Adrenergic blocker and helps to improve urine flow
South African Star Grass
help to eliminate urinary symptom
If the prostate enlargement is SMALL what is the best surgical option?
Transurethral Resection of the Prostate (TURP)