Benign Prostatic Hyperplasia

Benign Prostatic Hyperplasia:

1:what risk factors for acute urinary retention and BPH are present in Reggie?
-alcohol
-old age ,
-western culture

2:explain the etiology of the objective symptoms Reggie exhibited.
- enlargment related to increase the number of epithelial cells and stromal tissue.

the palpable bladder above umbilicus caused by urinary- retention


3:discuss the drugs options availabla to reggie.
- alpha-adrenergic receptors blockers ,for treatment BPH .The drug promot smooth muscle relaxation in the prostate.
- 5alpha-Reductase inhibitors , it is blocks the enzyme
5alpha-reductase,to reducing prostate size and increase urine flow.
4:Discuss the invasive options available to Reggie.
-transurethral resection of the prostate,excision and
-open prostatectomy
-laser prostatectomy
-transurethral microwave thermotherapy

5:Reggie asks you about the effect of the various treatment options on his ability to have sex. how would you respond?
TURP:cause retrograde ejaculation
Open prostatectomy:cause erictile disfunction
Laser prostatectomy:cause retrograde ejaculation.

6:Write one or more appropriate nursing diagnosis based on the assessment data presented . Are there any cpllaborative problems?
risk for infection R\T indwelling catheter,urinary stasis
collabortive problem:
hemorrhage
sexual dysfunction
urethra obstruction
cloting

7:On further assessment , You note that Reggie has a nursing diagnosis of decisional conflict. How would you help him resolve this conflict related to treatment options?
we must do intervention as
-assess client to opserve his sexual ability
-perform preoperative teaching to relife anxiety
-provide opportunity for private conversation for client