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Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Chapter 43 Nursing Care of Male Patients with Genitourinary Disorders Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Prostate Disorders Prostatitis Benign Prostatic Hyperplasia Prostate Cancer Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Prostatitis Etiology Signs and Symptoms Acute Bacterial Chronic Bacterial Chronic Prostatitis/Chronic Pelvic Pain Syndrome Asymptomatic Inflammatory Prostatitis Pain Urgency Frequency Dysuria Urine Retention Fever, Chills Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Prostatitis (cont’d) Interventions (cont’d) Diagnosis Digital Rectal Exam Urine Culture EPS Interventions Antibiotics Anti-inflammatory Agents Stool Softeners Sitz Baths Prostatic Massage Avoid Alcohol and Spicy Foods Surgery Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Nursing Diagnoses: Prostatitis Urinary Retention Risk for Ineffective Self-Health Management Acute Pain Anxiety Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Benign Prostatic Hyperplasia (BPH) Increase in Number of Diagnosis Cells DRE BUN, Creatinine Signs and Symptoms Urinary Retention Dribbling Nocturia Dysuria Urgency PSA Urodynamic Flow Studies Transrectal Ultrasound Cystoscopy Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Therapeutic Interventions Symptom Control Catheterization Fluids Antibiotics Intervention Watchful Waiting Alpha-Adrenergic Antagonists Hormone Blockers TUMT, TUMA Surgery Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Transurethral Resection of the Prostate Resectoscope into Urethra Overgrown Tissue Chipped Away Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Prostatectomy Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Prostate Surgery Pre-op Nursing Diagnoses Impaired Urinary Elimination Knowledge Deficit Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Postoperative Nursing Diagnoses Risk Bleeding Monitor Urine Output and Bleeding Encourage Fluids Teach Patient to Avoid Constipation Lifting Aspirin and NSAIDS Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Acute Pain: Bladder Spasm Monitor Pain Irrigate Catheter as Ordered Administer Analgesics, Antispasmodics Teach Relaxation and Deep Breathing Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Urge Urinary Incontinence Teach Kegel Exercises Offer Condom Catheter or Pads Encourage to Continue Fluids Discuss Prolonged Incontinence with Physician Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Risk for Ineffective Self-Health Management Teach to Avoid (About 6 Weeks) Heavy Lifting Stairs Driving Strenuous Exercise Straining Sexual Activity Aspirin and NSAIDS Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Bladder Irrigation Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Ineffective Therapeutic Regimen Management Teach Patient Catheter Care Report Signs and Symptoms of UTI Report Increase in Bleeding Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Anxiety: Sexual Function Explain Retrograde Ejaculation Talk with Physician if Erectile Dysfunction Occurs Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Prostate Cancer Risk Factors Over 65 High Testosterone High Fat Diet Family History Occupational Exposures Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Signs and Symptoms Rare in Early Stages Later Stages Advanced Urinary Obstruction Hematuria Urinary Retention Bone Pain Anemia Weakness Weight Loss Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Diagnosis DRE PSA PAP Transurethral Ultrasound with Biopsy Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Therapeutic Interventions Early Testosterone-Suppressing Medications Later Stages TURP or Open Prostatectomy Radiation Therapy Metastatic Orchiectomy, Estrogen Therapy Chemotherapy, Radiation Radical Prostatectomy Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Penile Disorders Peyronie’s Disease Penis Curved – Fibrous Bands Priapism Prolonged Painful Erection Phimosis/Paraphimosis Foreskin not Retractable Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Cancer of the Penis Risk Factors Not Circumcised as Baby HPV Therapeutic Interventions Surgery Radiation Chemotherapy Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Testicular Disorders Cryptorchidism Epididymitis Undescended Testes Hydrocele Fluid in Scrotal Sac Varicocele Varicose Veins of Scrotum Inflammation Infection Orchitis Testicular Inflammation or Infection Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Testicular Cancer Risk Factors Cryptorchidism Family History DES Use by Mother Caucasian High Socioeconomic Status Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Signs and Symptoms Early Painless Lump Swelling Late Symptoms of Metastasis Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Diagnosis Ultrasound Chest X-Ray Blood for Tumor Markers Biopsy Staging Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Therapeutic Interventions Surgery Radiation Chemotherapy Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Nursing Care Teach Testicular Self-Examination Provide Emotional Support Discuss Sperm Bank Deposit Offer Cancer Support Group Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Vasectomy Interruption of Vas Deferens Provides Permanent Birth Control Effective About 3 Months Following Surgery Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Vasectomy (cont’d) Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Erectile Dysfunction Problem Obtaining or Maintaining Erection Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Pathophysiology/Etiology Physical Psychosocial Circulation Nerve Supply Hormone Balance Limbic System Stress Illness Fatigue Alcohol/Drugs Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Diagnosis History Blood Tests Glucose Testosterone Evaluation of Circulation Psychosocial Evaluation Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Therapeutic Interventions Medication Changes Oral Medication Tadalafil Sildenafil Vardenafil Medication Injection Transurethral Devices Surgery Hormone Therapy Herbal Remedies Implants Vascular Surgery Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Penile Implants Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Nursing Diagnosis Risk for Ineffective Self Health Management Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Infertility Causes Pretesticular Post-testicular Surgery Endocrine Testicular Varicocele Idiopathic Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Diagnosis Sexual Practices Lifestyle Practices Occupation Medical-Surgical History Physical Examination Semen Analysis Copyright © 2011. F.A. Davis Company Understanding Medical Surgical Nursing, 4th Edition Linda S. Williams / Paula D. Hopper Therapeutic Interventions Changes in Lifestyle Practices Surgery if Indicated In Vitro Procedures Copyright © 2011. F.A. Davis Company