Nursing Diagnosis for Pre Operative and Post Operative Benign Prostatic Hyperplasia

Nursing Care Plan for Benign Prostatic Hyperplasia - Pre Operative and Post Operative

Benign Prostatic Hyperplasia Benign prostatic hyperplasia is an enlargement of prostrate which is non malignant. In the men, prostrate is a small gland which surrounds the neck of the bladder. Contribution to seminal fluid is its major function. If there is an enlargement of the prostrate then there is a pressure on the urethra. It acts like a partial clamp. This problem causes varieties of urinary symptoms. Usually 50% of men suffer from this problem with advancing age.

The prostate is an organ that sits just below the bladder and surrounds part of the urethra. Is the normal size of a golf ball? One of its roles is to keep sperm alive in the reproductive stage, but has no role in the ability to have sexual relation. For effects of age and dihydrotestosterone -a waste product of testosterone, growth originates from the gland and, as it grows, it compresses the urethra causing two types of symptoms: obstructive symptoms and irritative symptoms.

Some of the major symptoms

  1. A weak stream of urine
  2. Facing difficulty in starting urination
  3. Especially after urination, dribbling of urine
  4. Leaking of urine
  5. Blood in the urine
  6. Frequent urination and sometimes sudden desire to urinate especially in the night
  7. Feeling of not fully emptying the bladder

The symptoms of BPH are the result of obstruction; there is a decrease in the size and strength of urinary stream, increased frequency of urination both day and night, and eventually a permanent desire to urinate. If the disease progresses without treatment is presented urinary incontinence or complete retention of urine.

Nursing Diagnosis for Benign Prostatic Hyperplasia - Pre Operative

1. Impaired Urinary Elimination
related to:
obstruction due to prostate enlargement / decompress detrusor muscle
characterized by:
urine dripping,
frequent urination,
urinate, a little bladder can not empty completely,
bladder distension.

2. Acute Pain
related to:
mucosal irritation / bladder distension / colic renal / urinary tract infection
characterized by:
bladder spasm pain,
changes in muscle tone,
moaning in pain.

3. Anxiety
related to:
plan surgery and loss of health status and decreased sexual ability
characterized by:
increased tension,
expression of fear

4. Sexual Dysfunction
related to:
urinary obstruction.

5. Knowledge Deficit: about the nature of the disease, the goal of the program of action and the diagnostic
related to:
lack of information / lack of information / misinformation
characterized by:
patients often ask,
orders are not obeyed
progression of infection can not be prevented.

6. Disturbed Sleep Pattern
related to:
frequent micturition at night

7. Risk for Injury
related to:
urinary obstruction.

8. Risk for Infection
related to:
urine catheter installation


Nursing Diagnosis for Benign Prostatic Hyperplasia - Post Operative

1. Risk for Bleeding
related to:
surgery (resection).

2. Acute Pain
related to:
uninterrupted continuity of tissue, due to resection.

3. Anxiety
related to:
disease process can still relapse.

4. Risk for Urinary Retention
related to:
catheter obstruction by blood clots.

5. Risk for Excess Fluid Volume
related to:
the excessive absorption of irrigation fluid.

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