A nurse working on a medical–surgical nursing unit is caring for a 65-year-old m

Question

A nurse working on a medical–surgical nursing unit is caring for a 65-year-old man who was admitted with the diagnosis of benign prostatic hypertrophy. Before admission, he had complained of difficulty with urination, and in the emergency room, he was catheterized and 1000 cc of clear urine was obtained.

1. Why does a patient with prostatic hypertrophy have urinary retention?

2. What complication of urinary retention should the nurse be concerned about?

3. What are the clinical manifestations of acute prostatitis?

Explanation / Answer

1. ANS: Prostatic hypertrophy urinary retention:

Urinary retention is the body’s inability to completely empty the bladder. The BPH (Benign prostatic hyperplasia) is a condition in men in which the prostate gland is enlarged and it is not cancerous. It is also known as prostatic hypertrophy.

When the prostate gland enlarges, then the gland can presses against and pinches the urethra. Due to this the wall of the bladder can becomes thicker than normal. The bladder gradually may became weaken and lose the ability to empty completely. So it leaves some urine in the bladder. The narrowing of the urethra and urinary retention and the inability to empty the bladder can cause many problems.

2. ANS: The complications of benign prostatic hyperplasia may include:

Acute urinary retention

Chronic, or long lasting, urinary retention

Kidney damage

Bladder stones

Blood in the urine

Bladder damage

Urinary tract infections (UTIs)

3. ANS: Acute bacterial prostatitis is mainly caused by the common bacteria strain, which are mostly present in our urine. The infection can start when bacteria in urine leak into your prostate.

Patients with an acute bacterial prostatitis may present with the following: Fever, Chills, prostatic pain, Dysuria, Obstructive urinary tract symptoms, Low back pain and abdominal pain.

Complications of prostatitis can include:

Bacterial infection of the blood (bacteremia)

Semen abnormalities and infertility, which can occur with chronic prostatitis

Inflammation of the coiled tube attached to the back of the testicle (epididymitis)

Pus-filled cavity in the prostate (prostatic abscess)

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