BPH Symptoms (Benign Prostatic Hypertrophy)





Common BPH Symptoms

Symptoms of this condition usually start after the age of 50. They can include:

- Trouble starting a urine stream or making more than a dribble
- Passing urine often, especially at night
- Feeling that the bladder has not fully emptied
- A strong or sudden urge to urinate
- A weak or slow urine stream
- Stopping and starting again several times while passing urine
- Pushing or straining to begin passing urine.


Severe Symptoms

At their worst, BPH symptoms can lead to:

- A weak bladder
- Backflow of urine causing bladder or kidney infections
- Complete block in the flow of urine
- Kidney failure.

If the bladder is permanently damaged, BPH treatment may be ineffective. When BPH is found in its earlier stages, there is a lower risk of developing such complications.


Overview of Benign Prostatic Hypertrophy

• A slow enlargement of the prostate gland, with hypertrophy and hyperplasia of normal tissue
• The enlargement causes narrowing of the urethra and results in partial or complete obstruction
• The cause is unknown, theory is that hormonal (testosterone) alteration is responsible and the disorder usually occurs in men older than 50 years


Assessment of Benign Prostatic Hypertrophy

– Urgency, frequency, and hesitancy
– Changes in the size and force of urinary stream
– Retention
– Dribbling
– Nocturia
– Hematuria
– Urinary stasis
– UTIs


Nursing Implementation of Benign Prostatic Hypertrophy

– Increased fluid intake of up to 2000 to 3000 ml per day
– Avoid administering medications that cause urinary retention, such as anticholinergics, antihistamines, and decongestants
– Administer finasteride (Proscar) as prescribed to shrink the prostate gland and improve urine flow
– Surgery: TURP


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