Benign Prostate Hyperplasia

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.

1. BPH RAJEE RAVINDRAN MSc Nursing 1 st YEAR

2. RAJEE RAVINDRAN MSc Nursing 1st YEAR 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 1 ST YEAR MSC NURSING DEFINITION Benign prostatic hyperplasia (BPH) is an enlarged prostate gland . It is a benign (noncancerous) increase in size of the prostate.

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

6. PATHOPHYSIOLOGY

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 )

12. 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

13. COMPLICATIONS Urinary tract infection (UTI) Acute urinary retention (AUR) Complete blockage of the urethra Bladder stone Hematuria

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