Prostatitis
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Prostatitis. Behavioral Objective: Describe etiology, pathophysiology, clinical manifestations, nursing management and patient education for prostatitis Brunner and Suddarth’s Medical Surgical Nursing pg 1750. Prostatitis. Pathophysiology

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Prostatitis

  • Behavioral Objective:

    • Describe etiology, pathophysiology, clinical manifestations, nursing management and patient education for prostatitis

  • Brunner and Suddarth’s Medical Surgical Nursing pg 1750


Prostatitis

Pathophysiology

  • Inflammation of the prostate gland cause by infectious agents

  • E. coliis the most common

  • Microorganisms are usually carried to the prostate from the urethra


Prostatitis

Clinical manifestations

  • Perineal discomfort

  • Burning, urgency, frequency & pain after ejaculations

  • Prostate pain

  • Dysuria

  • May produce

    • Fever and chills

    • Rectal or low back pain


Prostatitis

Assessment and diagnostic findings

  • History

  • Culture

  • Histological examination of the tissue

  • D.R.E.

    • Swollen, tender & firm


  • Divided urinary specimen

    • Clean glans of penis

    • Void 10-15ml – 1st container

      • Urethral Urine

    • Without interrupting the urinary stream, collect 50-75 ml of urine -2nd container

      • Bladder Urine

    • Results:

      • UA is often + WBC & bacteria present

  • Prostatic massage

    • Prostatic fluid – 3rd container


Prostatitis

Medical management

  • A broad-stectrum antibiotic

    • Trimethroprim sulfamethoxazole (Bactrim)

    • Cirpfloxacin (Cipro)

  • Bed rest

  • Analgesic agents

  • Antispasmodic medications


Prostatitis

  • Bladder sedatives

  • Sitz baths

  • Stool softeners

    • Colace

  • Anti-inflammatory


Prostatitis

Nursing process of Patients with Prostatitis

  • Assessment

  • Diagnosis

    • Pain related to inflammation, bladder spasms,

    • Urinary retention, related to obstruction

    • Sexual dysfunction r/t discomfort

    • Anxiety r/t uncertain outcome

  • Planning and Goals


Prostatitis

Nursing process of Patients with Prostatitis

  • Nursing Interventions

    • Admin. meds

    • Comfort measures:

      • Sitz baths

    • Fluids:

      • Do not force fluids –


Prosatitis

  • AVOID Foods and liquids that have diuretic actions or that increase Prostatic secretion should be avoided

    • Alcohol

    • Coffee

    • Tea

    • Chocolate

    • Cola

    • Spices

  • Avoid intercourse

  • Avoid sitting for long periods


Orchitis

  • Behavioral Objective

    • Describe etiology, pathophysiology, clinical manifestations, nursing management and patient education Orchitis

  • Brunner and Suddarth’s Medical Surgical Nursing pg 1769


Orchitis

  • Orchitis is an inflammation of the testes.

  • Etiology

    • Mumps

    • Testicular congestion

    • Viral

    • Parasitic

    • Trauma


Orchitis

  • Signs & Symptoms

    • Pain

    • Swollen


Orchitis

Treatment

  • Rest - bed

  • Elevate scrotum

  • Ice pack

  • Antibiotics?

  • Analgesics

  • Anti-inflammatory


Benign Prostatic hyperplasia

  • Behavioral Objective:

    • Describe etiology, pathophysiology, clinical manifestations, nursing management and patient education for Prostatic hypertrophy / Benign Prostatic Hyperplasia / enlarged prostate

  • Brunner and Suddarth’s Medical Surgical Nursing pg 1751-52


Prostatic hypertrophy Benign Prostatic Hyperplasia

Pathophysiology

  • Prostate gland enlargement urinary obstruction

  • Age > 50


Prostatic hypertrophy Benign Prostatic Hyperplasia

Clinical Manifestations

  • prostate gland

    • large

    • rubbery

    • non tender

  • Urinary retention

  • Dilation of the ureters and kidneys

  • Results in UTI


Prostatic hypertrophy Benign Prostatic Hyperplasia

Assessment and diagnosis

  • Digital Rectal exam

    • BPH develops in the inner prostate

    • Cancer develops on the outside of prostate

  • Urinalysis (U/A)

  • Renal function test

  • Complete blood studies (CBC)


Prostatic hypertrophy Benign Prostatic Hyperplasia

Medical Management

  • Catheterization

  • Prostatectomy

    • TURP - Transurerthral Resection of the Prostate

  • Laser resection of the prostate.

    • Ultrasound & Lasers

    • Tissue vaporizes or necrotic  sloughs.


Prostatic hypertrophy Benign Prostatic Hyperplasia

Nursing process

  • Assessment

  • Diagnosis / Nursing Interventions

    • Acute pain related to bladder distention secondary to enlarged prostate as manifested by complaints of discomfort

      • Catheter

      • I & O

      • Percuss bladder for distention

      • Maintain patency of catheter

      • Asses pain


Prostatic hypertrophy Benign Prostatic Hyperplasia

  • Risk for infection (urinary tract) related to indwelling catheter, environmental pathogens, and urinary stasis

    • Assess for elevated temperature; urine cloudy or foul-smelling

    • U/A

    • Enc fluids

    • Strict aseptic technique


Prostatic hypertrophy Benign Prostatic Hyperplasia

  • Fear, related to actual or potential sexual dysfunction, possible diagnosis of cancer, and lack of knowledge regarding surgical procedure and postoperative care as manifested by verbalization of fear about impact of surgery on sexuality, questioning or inaccurate comments about surgical care.

    • Teach

    • Assess

    • Provide opportunity to talk


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