urinaery system disorders

Nursing care in patients with benign prostatic hyperplasia


DEFINITIONS
Benign prostatic hyperplasia is an urgent periuretral gland hyperplasia prostate tissue native to the peripheral and the surgical capsule.

ETIOLOGY
The cause of benign prostatic hypertrophy is less clear but there are 3 indications that the hormone causes tissue hyperplasia and stromal buffer glandural elements of the prostate. As we get older there will be changes in the balance of testosterone and estrogen, decreased testosterone production and testosterone is converted to estrogen in peripheral adipose tissue. Lobes that have an enlarged neck can clog vesika or prostatic urethra. Thing that happens is that delays the emptying of urine (urinary retention). The result is dilatation of the ureter (hidroureter) and kidneys (hydronephrosis) in stages. Urinary tract infections can occur due to stasis of urine, because most of urine inside the bladder is settled will be where the growth of the organism.

Predisposing factors :

• Age
• Hormonal
• Precipitation factor
• Too much sitting
• Too much sex
• Many masturbate
• Stress
.

CLINICAL MANIFESTATIONS
Obstructive and irritating symptoms of the syndrome is also called prostatismus the mark with:

• Increased urinary frequency
• Nocturia
• The urge to urinate constantly
• Abdomen tense
• Decreased urine volume and must be straining during micturition
• Urine flow is not smooth
• Feeling like the bladder does not empty properly.
• Dribbling (urine continues to drip after urination)
• Acute urinary retention
• Recurrence of urinary tract infection

EXAMINATION SUPPORT

1. Urinalysis
2. Urodinamis examination (assessing obstruction of urine flow pattern)
3. Complete blood examination
4. Assessment of cardiac and respiratory function
5. Radiological examinations plain to see an enlarged prostate
6. Ultrasonography (TRUS-transrectal ultrasonography)
7. Sistografi
MANAGEMENT

1. Catheterization (with a metal catheter)
2. Prostatekmi
3. Watch ful waiting (prostate incision intrasuretral / TUIP)
4. Balloon dilatation

ASSESSMENT
1. Circulation
Blood pressure rises as the effects of kidney enlargement
2. Elimination
Decrease in strength or encouragement of urine, difficult start, urination, not satisfied in urination, nocturia, Dysuria, Hematuria, recurrent urinary tract infections, urinary tract stone disease history, Constipation
3. Enter the food / beverage
Anorexia, nausea, vomiting, weight loss.
4. Comfort
Suprapubis pain and back pain / hip
5. Security
Fever
6. Sexuality
Decrease in ejaculation

NURSING DIAGNOSIS
1. acute pain associated with muscle spasm spincter
2. changes in the pattern of elimination: urinary retention associated with secondary obstruction
3. Sexual dysfunction associated with loss of body function
4. Risk of infection associated with port de enter microorganisms through a catheter