The document discusses benign prostatic hyperplasia (BPH), defined as an enlarged prostate gland. It affects men most commonly over age 50. Symptoms include frequent urination, urgency, and weak urine stream. Diagnosis involves digital rectal exam, lab tests, and prostate-specific antigen level. Treatment options include medications like alpha blockers and 5-alpha-reductase inhibitors, or surgical procedures like transurethral resection of the prostate. Nurses help manage symptoms, prevent complications like infection, and educate patients on BPH.

1. BPH
ROMENA BEGUM
1ST YEAR MSC NURSING

2. INTRODUCTION

3. BPH
ROMENA BEGUM
1ST YEAR MSC NURSING
DEFINITION
Benign prostatic hyperplasia (BPH) is an enlarged
prostate gland .
It is a benign (noncancerous) increase in size of the
prostate.

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

7. ETIOLOGY
Unknown
Old age above 50 years
Risk factors :
Chronic infection
Hereditary
Hormonal alteration
Prolonged obstruction
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 50 years
Risk factors :
Chronic infection
Hereditary
Hormonal alteration
Prolonged obstruction
 Abdominal pain
 Dysuria
 Continuous feeling of a full bladder
 Acute urinary retention
 Slow urine flow

9. INVESTIGATION
Digital rectal examination
 Laboratory studies
 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. SURGICAL MANAGEMENT
•Open prostatectomy
•Trans-urethral resection of the prostate
(TURP)
• Transurethral incision of the prostate
(TUIP)
•Holmium laser enucleation of the prostate
(HoLEP)

13. Provide medication as per order
Control and treat bladder spasm
Reduce anxiety
Relief discomfort
Restoration of urinary drainage
Treatment of UTI
Avoid prolong walking and sitting
Watch for hemorrhage

14. Complication
Urinary tract infection (UTI)
 Acute urinary retention (AUR)
Complete blockage of the urethra
Bladder stone
Hematuria

15. Introduction
Incidence
Definition
Etiology
Clinical manifestation
Diagnostic evaluation
Medical management
Surgical management
Nursing management
Complication