What is a urologic treatment for BPH?
UroLift and Rezūm are two outpatient procedures approved by the American Urological Association (AUA) guidelines for managing BPH in patients. These minimally invasive surgical therapies have been shown to provide significant relief for BPH patients, resulting in a better quality of life.
What are the appropriate nursing diagnoses for a patient with BPH?
Based on the assessment data, the appropriate nursing diagnoses for a patient with BPH are: Urinary retention related to obstruction in the bladder neck or urethra. Acute pain related to bladder distention. Anxiety related to the surgical procedure. Nursing Care Planning & Goals. Main Article: 5 Benign Prostatic Hyperplasia (BPH) Nursing Care Plans
What is the pathophysiology of BPH?
BPH Pathophysiology Though to result from hormonal changes from aging process: -Excessive accumulation of DHT in the prostate cells that can stimulate overgrowth of prostate tissue -Increased proportion of estrogen over testosterone in blood Compression (from enlargement) of the urethra leads to:
What are the goals of medical management of benign prostatic hyperplasia (BPH)?
The goals of medical management of BPH are to improve the quality of life and treatment depends on the severity of symptoms. Catheterization. If a patient is admitted on an emergency basis because he is unable to void, he is immediately catheterized.
Which procedure is best for BPH?
Transurethral resection of the prostate (TURP): This is the most common treatment for BPH. During this procedure, your urologist will insert a rigid instrument called a resectoscope into the urethra.
Which agent is most effective for treatment of prostatic hyperplasia?
In the last decade, selective alpha blockers have become the mainstay of drug therapy for uncomplicated benign prostatic hypertrophy. In the absence of contraindications, the first-line therapy for all men is an alpha blocker.
What is the least invasive procedure for BPH?
The transurethral needle ablation (TUNA) is a minimally invasive procedure to treat benign prostatic hyperplasia (BPH). It uses radiofrequency waves to heat and destroy tissue of the enlarged prostate.
What is the first line treatment for BPH?
Alpha blockers are recommended as first-line treatment for BPH, except for prazosin (Minipress) and phenoxybenzamine (Dibenzyline), which lack data to support their use and, therefore, are not recommended. The 5-alpha reductase inhibitors are only recommended in men with documented prostate enlargement.
Which is better TURP or laser?
There was no difference between the two procedures in terms of hospital stay or complications. However, men in the TURP group achieved a faster urinary flow rate (they could pass higher volumes of urine more quickly). TURP was also slightly more cost-effective and faster to perform than the laser procedure.
Is TURP the best option?
TURP is generally considered an option for men who have moderate to severe urinary problems that haven't responded to medication. While TURP has been considered the most effective treatment for an enlarged prostate, a number of other, minimally invasive procedures are becoming more effective.
Which is better HoLEP or TURP?
HoLEP was significantly superior to TURP in terms of both Qmax and IPSS at 1-year postoperative follow-up visits. Furthermore, HoLEP patients benefited from less intraoperative bleeding, a shorter catheterization time, shorter hospital stays, and lower transfusion rates.
Which is better TURP or Rezum?
Rezum has many advantages over medical treatment or TURP, including lower rates of sexual dysfunction or bleeding. Rezum water vapor thermal therapy is approved for treating LUTS in patients with BPH, particularly in prostates less than 80cc. It has the advantage of preserving sexual function, compared to TURP.
What is Benign Prostatic Hyperplasia (BPH)?
Benign prostatic hyperplasia is a non-cancerous enlargement of the prostate gland that occurs when the prostate and surrounding tissues expand. Typically, a male’s prostate is roughly the size of a walnut or golf ball, however, it has the potential to grow up to the size of an orange as the gland grows.
Treating BPH With Rezūm Water Therapy
Rezūm water therapy is a great option to provide lasting relief for those who do not want to treat BPH with medication or invasive surgery. This is a non-surgical treatment that uses the power of water, vapor, or steam, to remove excess prostate tissue that is pressing against the urethra, causing lower urinary tract symptoms.
Benefits of Using Rezūm Water Therapy
Having BPH can mean frequent trips to the bathroom and even interrupted sleep. The greatest benefit of Rezūm water therapy is how it works to relieve frustrating BPH symptoms that otherwise may still be present. Rezūm water therapy does not require painful surgery or medication, and is minimally invasive.
Treating BPH with UroLift
Similar to Rezūm, UroLift is a one time, in-office procedure that provides rapid relief and recovery for men living with symptoms of an enlarged prostate. The UroLift system is a relatively straightforward procedure that utilizes tiny implants to lift the enlarged prostate tissue away from the urethra so that urine is no longer blocked.
Benefits of Using UroLift
As you know, benign prostatic hyperplasia can have a negative impact on a man’s quality of life. An advantage of UroLift is that it doesn’t just treat BPH symptoms, but it completely removes the blockage to the urethra so that lower urinary tract symptoms do not worsen or reoccur.
Which Treatment is Right for Me?
Ultimately, the decision of which treatment would be best for your enlarged prostate should be decided between you and your healthcare provider. It’s important to discuss the process for each procedure with your doctor to determine the best treatment for enlarged prostate.
Other Available BPH Treatments
Although Rezūm and UroLift are the best treatment for enlarged prostate, they aren’t the only methods available to you. The severity of BPH varies from person to person, so not every treatment will be effective for every patient.
What is the pathophysiology of BPH?
The pathophysiology of BPH is as follows: Resistance. BPH is a result of complex interactions involving resistance in the prostatic urethra to mechanical and spastic effects. Obstruction.
What is BPH in men?
Benign prostatic hyperplasia ( BPH) is one of the most common diseases in aging men. Benign prostatic hyperplasia (BPH) is the enlargement, or hypertrophy, of the prostate gland. The prostate gland enlarges, extending upward into the bladder and obstructing the outflow of urine. Incomplete emptying of the bladder and urinary retention leading ...
What is a TURP procedure?
TURP involves the surgical removal of the inner portion of the prostate through an endoscope inserted through the urethra. Open prostatectomy. Open prostatectomy involves the surgical removal of the inner portion of the prostate via a suprapubic, retropubic, or perineal approach for large prostate glands.
What is BUN/CR in urine?
Urine cytology: To rule out bladder cancer. BUN/Cr: Elevated if renal function is compromised. Prostate-specific antigen (PSA): Glycoprotein contained in the cytoplasm of prostatic epithelial cells, detected in the blood of adult men. Level is greatly increased in prostatic cancer but can also be elevated in BPH.
How many men have BPH?
Statistics and Epidemiology. BPH typically occurs in men older than 40 years of age. By the time they reach 60 years of age, 50% of men have BPH. BPH affects as many as 90% of men by 85 years of age. BPH is the second most common cause of surgical intervention in men older than 60 years of age.
What to do before surgery?
Before the surgery, the nurse reviews with the patient the anatomy of the affected structures and their function in relation to the urinary and reproductive systems. Maintain fluid balance. Fluid balance should be restored to normal.
