Disorders of the Prostate gland (ERECTILE DYSFUCTION (ASSESSMENT AND…
Disorders of the Prostate gland
burning, urgency, frequency,
pain with or after ejaculation
inﬂammation of the prostate gland caused by infectious agent
collect prostatic ﬂuid
Infection and inflammation of the prostate gland results in oedema,
Of importance is the pressure exerted on the urethra which will cause symptoms related to micturition
Chronic inflammation may cause an increase in prostate size,
may result in obstruction of the urinary flow
A broadspectrum antibiotic agent is given for 10 to 14 days
analgesic agents, antispasmodic medications and bladder sedatives and stool softeners
administration of prescribed antibiotics
provision of comfort measures, including prescribed analgesic agents and sitz baths
Patient needs to be instructed about the importance of continuing antibiotic therapy.
instructs the patient to complete the prescribed course of antibiotics
Foods and liquids increase prostatic secretions , should be avoided.
sexual arousal and intercourse should be avoided.
Medical follow-up is necessary for at least 6 months to 1 year
BENIGN PROSTATIC HYPERPLASIA
The exact cause of benign prostatic hyperplasia is not known
A prostate gland that is large, rubbery, and nontender.
incomplete emptying of the bladder and urinary retention
ASSESSMENT AND DIAGNOSIS
Lifestyle in relation to sexual practices,
delay in passing urine when there is an urge
nocturia, incomplete emptying and urinary leakage
Physical examination include Abdominal palpation
Urinalysis, urine culture
A blood test for full blood count, clotting factors
Kidney function, and a prostate-specific antigen
The hypertrophied prostate results in an obstruction in the urethra and incomplete emptying of the bladder
In many patients older than 50 years, the prostate gland enlarges and obstructing the outﬂow of urine
Any one out of Five methods of prostatectomy may be used
Transurethral resection of the prostate (TURP)
Laparoscopic radical prostatectomy
watchful waiting,(TUIP), balloon dilation.
Alpha-blockers, 5-alpha-reductase inhibitors, transurethral
Non-surgical invasive treatment.
Avoid or stop drinking alcohol
is a malignant tumour of the prostate It is generally slow-growing and progressive
The cause of prostatic cancer are unkwon
age, over 50 years
Family history of prostate cancer
A diet high in fat
Prostate cancer is an androgen- dependent adenoma carcinoma.
It can spread by Direct extension to nearby structures
And Via the blood stream
ASSESSMENT AND DIAGNOSIS
DRE Cancerous lesion in the prostate may be palpated in the rectum
Transrectal ultrasonography (TRUS/TUS). Used to detect non-palpable prostatic tumours.
Pelvic node dissection.
Treatment is based on the stage of the disease and the patient’s age and symptoms
A radical prostatectomy
Improved pattern of urinary elimination
Maintain optimal nutritional status
Relief of pain
Improved physical mobility
Erectile dysfunction has both psychogenic and organic causes
Psychogenic causes include anxiety, fatigue, depression.
Organic causes include diabetes, testosterone deficiency.
Decreased frequency of erections
Inability to achieve a ﬁrm erection
Men older than 65 years of age
ASSESSMENT AND DIAGNOSTIC FINDINGS
Requires a sexual and medical history
Analysis of presenting symptoms
Detailed assessment of all medications, alcohol, and drugs used;
Nocturnal penile tumescence tests
Sensual stimulation, release of the LH, which cause constriction
Anything that interferes with this process can cause erectile dysfunction.
Inability of the brain to respond to sexual stimuli can interrupt the signals to PNS
Adrenergic blocking medication may be used
Intracavernosal vasodilating drugs
Sildenafil (Viagra) used
Nurse must ﬁnd, implement, and integrate their sexual beliefs and behaviors into a healthy.
how to administer oral medications and injections..
Nurse implement, and integrate their sexual beliefs and behaviors into a healthy.
surgeon removes the prostate piecemeal by cutting and coagulating tissues
2 Perineal prostatectomy
Perineal prostatectomy involves removing the gland through an incision in the perineum
3 Retropubic prostatectomy
The surgeon makes a low abdominal incision and approaches the prostate gland between the pubic arch and the bladder without entering the bladder.
4 Laparoscopic radical prostatectomy
provides better visualization of the surgical site and surrounding areas
5 Suprapubic prostatectomy
Suprapubic prostatectomy is one method of removing the gland through an abdominal incision