Prostatitis

1
Prostatitis

• Behavioral Objective
• Describe etiology, pathophysiology, clinical
  manifestations, nursing management and patient
  education for prostatitis
• Brunner and Suddarths Medical Surgical Nursing
  pg 1750

2
Prostatitis

• Pathophysiology
• Inflammation of the prostate gland cause by
  infectious agents
• E. coli is the most common
• Microorganisms are usually carried to the
  prostate from the urethra

3
Prostatitis

• Clinical manifestations
• Perineal discomfort
• Burning, urgency, frequency pain after
  ejaculations
• Prostate pain
• Dysuria
• May produce
• Fever and chills
• Rectal or low back pain

4
Prostatitis

• Assessment and diagnostic findings
• History
• Culture
• Histological examination of the tissue
• D.R.E.
• Swollen, tender firm

5

• 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

6
Prostatitis

• Medical management
• A broad-stectrum antibiotic
• Trimethroprim sulfamethoxazole (Bactrim)
• Cirpfloxacin (Cipro)
• Bed rest
• Analgesic agents
• Antispasmodic medications

7
Prostatitis

• Bladder sedatives
• Sitz baths
• Stool softeners
• Colace
• Anti-inflammatory

8
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

9
Prostatitis

• Nursing process of Patients with Prostatitis
• Nursing Interventions
• Admin. meds
• Comfort measures
• Sitz baths
• Fluids
• Do not force fluids

10
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

11
Orchitis

• Behavioral Objective
• Describe etiology, pathophysiology, clinical
  manifestations, nursing management and patient
  education Orchitis
• Brunner and Suddarths Medical Surgical Nursing
  pg 1769

12
Orchitis

• Orchitis is an inflammation of the testes.
• Etiology
• Mumps
• Testicular congestion
• Viral
• Parasitic
• Trauma

13
Orchitis

• Signs Symptoms
• Pain
• Swollen

14
Orchitis

• Treatment
• Rest - bed
• Elevate scrotum
• Ice pack
• Antibiotics?
• Analgesics
• Anti-inflammatory

15
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 Suddarths Medical Surgical Nursing
  pg 1751-52

16
Prostatic hypertrophy Benign Prostatic
Hyperplasia

• Pathophysiology
• Prostate gland enlargement ?urinary obstruction
• Age gt 50

17
Prostatic hypertrophy Benign Prostatic
Hyperplasia

• Clinical Manifestations
• prostate gland
• large
• rubbery
• non tender
• Urinary retention
• Dilation of the ureters and kidneys
• Results in UTI

18
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)

19
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.

20
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

21
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

22
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