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Benign Prostate Hyperplasia

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Benign prostatic hyperplasia (BPH) — also called prostate gland enlargement — is a common condition as men get older. An enlarged prostate gland can cause uncomfortable urinary symptoms, such as blocking the flow of urine out of the bladder.

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Benign Prostate Hyperplasia

  1. 1. BPH RAJEE RAVINDRAN MSc Nursing 1st YEAR
  2. 2. RAJEE RAVINDRAN MSc Nursing 1stYEAR ANATOMY OF PROSTATE EXOCRINE GLANDULAR TISSUE SECRETION OF COMPONENTS OF SEMEN FIBROMUSCULAR TISSUE SMOOTH MUSCLE TISSUE AND COLLAGEN FIBERS
  3. 3. INTRODUCTION
  4. 4. BPH ROMENA BEGUM 1STYEAR MSCNURSING DEFINITION Benign prostatic hyperplasia (BPH) is an enlarged prostate gland . It is a benign (noncancerous) increase in size ofthe prostate.
  5. 5. ETIOLOGY Unknown Old age above 50yrs Chronic infection Hereditary Hormonal alteration Prolong obstruction
  6. 6. PATHOPHYSIOLOGY
  7. 7. ETIOLOGY Unknown Old age above 50years Risk factors : Chronic infection Hereditary Hormonal alteration Prolongedobstruction SIGNS AND SYMPTOMS Frequency  Nocturia  Urgency  Involuntary urination  Incontinence  Urinary hesitancy  Involuntary interruption of voiding  Straining to void  Sensation of incomplete emptying  Micturition dribbling
  8. 8. ETIOLOGY Unknown Old age above 50years Risk factors : Chronic infection Hereditary Hormonal alteration Prolongedobstruction  Abdominal pain  Dysuria  Continuous feeling of afull bladder  Acute urinary retention  Slow urine flow
  9. 9. INVESTIGATION Digital rectalexamination  Laboratorystudies  Urinalysis  Urine culture  Prostate-specific antigen  Electrolytes, blood urea nitrogen(BUN),  Creatinine
  10. 10. MEDICAL MANAGEMENT Alpha blockers : •Alfuzosin 5-alpha-reductase inhibitor : .Finasteride .Dutasteride Combination drug therapy Antibiotics Analgesics Antispasmodic
  11. 11. SURGICALMANAGEMENT •Open prostatectomy •Trans-urethralresection of theprostate (TURP) •Transurethralincision of theprostate (TUIP) •Holmium laser enucleation of theprostate (HoLEP)
  12. 12. Provide medication as perorder Control and treat bladderspasm Reduceanxiety Relief discomfort Restoration of urinarydrainage Treatment of UTI Avoid prolong walking andsitting Watch forhemorrhage
  13. 13. COMPLICATIONS Urinary tract infection(UTI)  Acute urinary retention(AUR) Complete blockage of theurethra Bladder stone Hematuria
  14. 14. Introduction Incidence Definition Etiology Clinical manifestation Diagnosticevaluation Medical management Surgicalmanagement Nursingmanagement Complication

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