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Predisposing Contributes to Main Cause Contributes Precipitating


Idiopathic
Age (middle aged & elderly) Believed to be caused by:
Hypertension Presence of 5α Smoking
Diabetes dehydrotestosterone Excessive alcohol consumption
Western Diet (↑Animal fat & ↑sensitivity to estrogens Obesity
CHON, ↓Fiber) ↓testosterone compared to Reduced Activity level
Heart Disease estrogens

Pathophysiolo
ETIOLOGY/CA Leads to
gy
Manifestations USES (Simple Pathophysiology of BPH)

↓Prostatic cell Hyperplasia of the


death prostate (excessive
growth of new
cells)
Signs &
More prostatic
Symptoms cells can be ↑size of the
acted upon by prostate

Urinary frequency, DHT


urgency & hesitancy Fatigue
Nocturia Anorexia Obstruction
↓volume & force of Nausea of urine flow
urinary stream Vomiting
Dribbling Pelvic discomfort
Recurrent UTI’s Urinary
↑Pressure in
retention
the Bladder
Diagnosti
cs Complication
Benign Prostatic
Physical Laboratory s
Hyperplasia
Assessment exams
Gradual Gradual
Urinalysis dilatation of dilatation of
May indicate hematuria & the Ureters the kidneys
Patient voiding diary UTI
Markedly ↓volume, force Hydronephrosi
PSA Hydroureter:
of urinary stream & flow s:
Elevated results indicates Urinary stasis in
Urinary stasis
rate malignancy the ureters
in the kidney
Digital Rectal Exam Ultrasound examination Favors growth of
Favors growth
Reveals large rubbery & Hydronephrosis & bacteria
of bacteria
non-tender gland enlargement of the prostate
Measurement of post- CBC
Elevated in patients having Pyelonephritis Urinary
void-residual urine
UTI/nephritis insufficiency
↑than normal
Inability of the
kidneys to
function
Includ properly Uremia/Azotemia:
manageme Accumulation of
Nursing surgical Medical es nt metabolic
waste(especially
Urinary
Administer nitrogenous substances)
Catheterization
Testosterone Main Goals in the blood
Administer due TURP Due to inability of kidneys
medications Ablating agents
Suprapubic Administer of 5α
to filter blood properly
Monitor Intake and
output
prostatectomy reductase ↑Quality of life
Provide Rest Retropubic inhibitors Improve urine flow If
Prostatectomy Administer α Chronic
Provide emotional Relieve obstruction Uremic
support Perineal adrenergic Prevent disease poisoning
Renal
Encourage Postatectomy blocking agents
progression Failure
Verbalization of
feelings ↓complication Death

[Type text]

By: Jason A. Adoyogan, SN (FCU-CN)

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