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DISORDERS OF THE PROSTATE GLAND (PROSTATITIS (causes (leaking of bacteria…
DISORDERS OF THE PROSTATE GLAND
PROSTATITIS
DEFINATION
inflammation of the prostate gland that produces seminal fluids
causes
leaking of bacteria into your prostate .
nerve damage to the lower respiratory rtact
various sexually transmitted organisms
primary voiding dysfunction problem ,either structural or functional
Mtuberculosis
HIV
CYTOMEGALOVIRUS
INFLAMMATORY CONDITIOS
risk factores
being young or middle age
history of prostatitis
infection in the bladder
pelvic trauma
having urinary catheter
being HIV\ AIDS
dehydration
PATHOPHYSIOLOGY
In bacteria prostatitis sexual transmission of bacteria is common but hematenogenious , lymphatic and contiguous spread of infection from surrounding organs must also be considederd
the presence of inflammatory cells inn the glandular epithelium and lumen of the prostete , with chronic inflammatory cells in the periglandulor tissue .
symptoms
painful , difficult and\ frequent urinating
blood in the urine
groin pain, rectal pain, abdominal pain and \ or low back pain
fever and chills
malaise or body aches
urethral discharge
painful ejaculation or sexual dysfuction
assessment findings
subjective data
objective data
physical examination of the prostate gland
digital rectal examination that includes palpation of prostate gland
prostate massage to compare samples of the prostatic fluids
obtain complete blood count
electrolyte panel
blood cultures
PSA test
ultrasound , CT scan, cystoscopy , prostate biopsy
management
medical
antibiotics e.g ciprofloxacin
anti- inflammatory conditions
alpha - blockers
analgesics
stool softners
muscle relaxants
surgical
radical prostatectomy
radiotherapy
nursing
give analgesia to releive discomfort
give stool softners to relieve the discomfort of bowel movements
give antibiotics as prescribed by the docter
insert catheter if swollen prostete results in blockage
increase fluid intake to two or more titres to decrease constipation
advice patient to practice warm baths for the relief of low back pain and also pain in the genital area
monitor patient after antibiotics therapy is complete , to ensure there is no lingering infection
health education
avoid caffein
avoid alcohol
avoid spicy food
prostate massage
practice warm sitz bath
lifestyle changes
acupuncture practice it important for the decrease of the disease
history of STI
BENIGN PROSTATIC HYPERPLASIA
DEFINATION
age associated prostate gland enlargement that causes urination diffficulties
pathophysiology
causes
changes in the balance of sex hormones as men grow older
risk factores
aging
using the beta blockers
having diabetes and heart disease
obesity
family history of prostate problems
symptoms
getting up at night to urinate
frequent urge to urinate
difficult in urinating
dribbing of urine
inability to completely empty the bladder
assessment findings
subjective data
objective data
digital exam
urine test
blood test
prostate specific antigen
urinary flow test
postvoid residual volume test
mamagement
medical
alpha blockers e.g alfuzosin, doxazosin, flomax and silodosin
5 alpha reductase inhibitors e.g finasteride, and dutasteride
combination of blood therapy both alpha blockers and 5 alpha reductase inhibitors
tadalafil
surgical
transurethral resection of the prostate
transurethral incision of the prostate
tansurethral neddle ablation
laser therapy
embolizatin to decrease size of the prostate
open or robet - assisted prostatectomy
nursing
encourage the patient to void every 2 -4 hr and when urge is noted
observe urinary stream
document time and amount of each voiding
encouregar oral fluids
monitor vital signs . observe for hypertension
recommend sitz bath as indicated
administer medication as prescribed
health education
limit beverages in the evening
limit caffeine and alcohol
limit decongestants or antihistamine
go to the toilet when you first feel the urge
schedule bathroom visits
follow health diet
stay active
urinate - and then urinate again a few moments later
avoid cold temperature
