Benign Prostate HyperplasiaUpdated 2 years ago
What is Benign Prostate Hyperplasia?
Proliferation of the central or transitional zone of prostate affecting:
- smooth muscle
- glandular epithelial tissue
- connective tissue
Natural phenomenon in aging males
How many zones are there in the prostate?
- Transition Zone-urethra
- Central Zone-seminal vessels
- Peripheral Zone-doctors check
RISK FACTORS
- men aged more than 50 years old
- obesity
- sedentary lifestyle
- hypertension
- heart disease
- diabetes mellitus
CLINICAL MANIFESTATIONS
1.Symmetrically enlarged prostate
2. Lower Urinary Tract Symptoms (LUTS)
- Storage: urinary frequency, urgency, nocturia
- Voiding: straining, dribbling, splitting urination
When is it concerning?
- Benign prostate enlargement
- Benign prostatic obstruction
- Bladder outlet obstruction
DIAGNOSTIC TESTS
- Prostate symptom score (less than 7 mild, 8-19 moderate, 20-35 severe)
- Uroflowmetry
- PVR: post void residual
- Prostate imaging via transabdominal ultrasound
- Cystoscopy
MANAGEMENT
Lifestyle Medication | LESS caffeine , alcohol, bladder irritants |
Naturopathic | Saw palmetto |
Medical | Alpha adrenergic blockers, Finasteride, |
Surgery | Prostatectomy, MISTs |
NURSING CONSIDERATIONS
Parameters | Nursing Action |
Prioritization | Monitoring of LUTS, BPE, BPO, BOO Pain (cramps / spasm) Urinary infections |
Medication Effects | Hypotension, tachycardia , dizziness, erectile dysfunction |
Post Operative Care | Continuous bladder irrigation and catheter care Complications of TURP : bleeding (venous/ arterial) |
Health Teaching | Lifestyle modification and disease process. |
