1.
BPH
RAJEE RAVINDRAN
MSc Nursing 1st YEAR

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.
INTRODUCTION

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.
ETIOLOGY
Unknown
Old age above 50yrs
Chronic infection
Hereditary
Hormonal alteration
Prolong obstruction

6.
PATHOPHYSIOLOGY

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.
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.
INVESTIGATION
Digital rectalexamination
 Laboratorystudies
 Urinalysis
 Urine culture
 Prostate-specific antigen
 Electrolytes, blood urea nitrogen(BUN),
 Creatinine

10.
MEDICAL MANAGEMENT
Alpha blockers :
•Alfuzosin
5-alpha-reductase inhibitor :
.Finasteride
.Dutasteride
Combination drug therapy
Antibiotics
Analgesics
Antispasmodic

11.
SURGICALMANAGEMENT
•Open prostatectomy
•Trans-urethralresection of theprostate
(TURP)
•Transurethralincision of theprostate
(TUIP)
•Holmium laser enucleation of theprostate
(HoLEP)

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.
COMPLICATIONS
Urinary tract infection(UTI)
 Acute urinary retention(AUR)
Complete blockage of theurethra
Bladder stone
Hematuria

14.
Introduction
Incidence
Definition
Etiology
Clinical manifestation
Diagnosticevaluation
Medical management
Surgicalmanagement
Nursingmanagement
Complication