This document discusses prostate cancer, including its definition, causes, risk factors, clinical manifestations, management, and nursing care. Prostate cancer is a malignant tumor that usually grows slowly and remains confined to the prostate gland for many years but can advance and spread to other tissues. Management may include radical prostatectomy surgery, hormonal therapy, radiation therapy, cryotherapy, or chemotherapy. Post-operative nursing care focuses on monitoring for complications, caring for urinary catheters, encouraging mobility, and providing routine post-operative support.

1. Presented by
Mr B.Kalyan kumar Msc (N)
Deptof MSN

2. Introduction
⚫Prostate cancer is the carcinoma of the prostate
gland that may spread to other parts of the body
particularly bones and lymph nodes.

3. Definition
⚫Prostate cancer is a malignant tumor that usually grows
slowly and remains confined to gland for many years.
As the cancer advances,however, it can spread beyond
the prostate into the surrounding tissues.

4. Causes and Risk factors
Unknown Advancing
age
Genetics
(Heredity)
Hormonal
influences

5. Environmental
factors as
cigarette
smoking
Industrial
products
Toxins,chemicals
Diets that are
high in
saturated fat

7. Clinical manifestations
⚫Urinary difficulties
⚫Burning or pain during urination
⚫Inability to urinate, difficulty starting
urination

8. ⚫A sensation of incomplete emptying of the bladder even
after passing urine
⚫Frequent nocturnal urination
⚫Weak or interrupted flow of urine.

9. Other symptoms
Pelvic pain
Back or hip
pain
Abdomen
pain
Jaundice
Chest pain

11. MANAGEMENT
Prostate, some
vesicles are all
⚫Surgery: Radical prostatectomy- The
surrounding tissue, and the seminal
completely removed

12. ⚫Retropubic radical prostatectomy- The initial incision
by the surgeon is made in the lower abdomen between
the navel and just above the penis.
⚫Perineal radical prostatectomy- The initial incision by
the surgeon is made in the skin between the Anus and
Scrotum.

13. ⚫Hormonal therapy- Hormonal therapy is the mainstay of
treatment for symptomatic advanced prostate cancer
⚫Radiation therapy
⚫Cryotherapy
⚫Chemotherapy- Cisplatin, 5-FU.

14. NURSING MANAGEMENT
⚫Prepare the patient for post operative procedures, such as
dressing changes and intubation.

15. ⚫Post operatively, the patient will be wearing sequential-
compression stockings and receiving IV fluids,
antibiotics,possible blood products and opioid analgesics
and antispasmodic for pain management.

16. ⚫Monitor complications of bleeding, infection, fluid
and electrolyte imbalances, pulmonary embolus and
rectal injury.

17. ⚫The patient return from surgery with an indwelling
urethral catheter. Keep the urinary catheter in position by
securely taping the catheter to the patients leg
⚫Regularly check the dressing, incision, and drainage
system for excessive blood, watch for signs of bleeding
and be alert for signs of infection.

18. ⚫Regularly check the dressing, incision, and drainage
system for excessive blood, watch for signs of bleeding
and be alert for signs of infection
⚫Document the intake and output. Record drainage from
each drain separately.

19. ⚫Encourage patient to walk frequently and to avoid
prolonged sitting. Teach the patient when to see the
physician for follow-up care
⚫Nurse should help the patient ambulate the day after
surgery and provide other routine post operative care,
including encouraging deep breathing to prevent
pulmonary complications.

22. GOOD TIME WITH YOU