Risk:
Age > 50
Ethnicity: African Americans
Family history, High-fat diet
Nursing Assessment:
Asymptomatic
BPH manifest: dysuria, hesitancy, dribbling, frequency,nocturia, urgency, retention, dec stream
Metastasis: pain lumbosacral area
Dx:
DRE (Hard nodule, irregular)
Prostate Specific Antigen (NV: 0 -4 mcg/L)
Biopsy, CT, MRI
Nursing Management:
Radical prostatectomy: retropubic, perineal resection
Nerve-sparing: erectile dysfunction (pudental n.), urinary incontinence
Indwelling cath and a drain (surgical site)
Laparoscopic prostatectomy
Cryosurgery
Radiation: External beam/brachytherapy
Chemotherapy
Hormonal: antiandrogen, androgen blocker (Nilandron), estrogen (DES)
Orchiectomy
Categories:
Nursing Management,
Oncology