A common condition in the aging cycle of men that causes enlargement of the prostate gland that surrounds the urethra. The enlargement of the prostate may cause difficulty urinating, having to urinate more often, especially at night, and a weak urine stream. BPH is not cancer and does not increase the risk of developing cancer.
Hormonal imbalances of androgen/estrogen are believed to be responsible for the growth of the prostate.
Alleviate urinary symptoms, restore normal urinary function, prevent complications
Assess and palpate suprapubic area
Assess for bladder distention to suggest fluid retention
Monitor vital signs
Observe for signs of hypertension and infection. Urinary retention may lead to infection which can be evidenced by fever. Fluid retention puts stress on the kidneys and heart and may increase blood pressure and heart rate.
Monitor I & O
Monitor frequency of urination and volume, paying attention to characteristics of urine. Dark, malodorous or bloody urine may indicate further complications.
Encouraged increased fluids if indicated.
** limit fluids initially if urinary retention is an issue **
Recommend 3000 mL fluid daily to promote flushing and circulation of fluid through kidneys, bladder and ureters.
Monitor labs / diagnostic tests
Administer medications and educate patient of proper use
Insert indwelling catheter as indicated per facility protocol
Indwelling catheter may be required to bypass the prostate and allow urine to flow freely, eliminating fluid retention in the bladder.
Nutrition and lifestyle education
Excess weight can affect the hormone balance in the body. Maintaining a healthy weight through diet and exercise can help lower the risk of developing BPH.
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