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