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Benign prostatic hyperplasia (BPH)
is prostate gland enlargement due to increased epithelial cells and stromal tissue.
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What does BPH results from?
endocrine changes associated with the aging process
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The compression of the urethra leads to clinical symptoms:
- decrease in caliber and force of the urinary stream
- difficulty in initiating voiding
- intermittency and dribbling
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Conservative and initial treatment is _________ ___________ when there are 0/mild symptoms
- watchful waiting
- Drug therapy may also be used.
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Invasive treatment of symptomatic BPH involves
prostate resection or ablation.
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Prostate cancer is the __________cancer among men, excluding skin cancer.
most common
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Risk factors of prostate cancer include
- family history
- age
- ethnicity
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Symptoms of prostate cancer are similar to those for BPH including
- dysuria
- hesitancy
- dribbling
- frequency
- urgency.
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Elevated levels of ___________ ________ _____indicate prostatic pathology, although not necessarily prostate cancer.
prostate-specific antigen (PSA)
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The conservative approach to management is
“watchful waiting”
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Invasive therapies include ___________ ___________ and _______________
radical prostatectomy and cryosurgery
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Treatment may also include
drugs, hormones, chemotherapy, and radiation.
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The nursing role is to encourage patients
to have annual PSA and digital rectal exam
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What age should men start having PSA and digital rectal exams?
age 50 or younger if risk factors present.
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The term prostatitis describes a group of ____________ and ____________ conditions affecting the prostate gland
inflammatory and noninflammatory
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what are the different types of prostatitis?
- acute bacterial prostatitis
- chronic bacterial prostatitis
- chronic prostatitis/chronic pelvic pain syndrome
- asymptomatic inflammatory prostatitis
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What drugs are used for acute and chronic bacterial prostatitis?
antibiotics
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What is Epididymitis?
acute painful inflammatory process of the epididymis secondary to an infectious process, trauma, or urinary reflux down the vas deferens.
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Conservative treatment of epididymitis?
- bed rest with elevation of scrotum
- use of ice packs
- analgesics.
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