Describe the pathophysiology and complications associated

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A 65-year old male presents to the emergency department with complaints of not being able to urinate for the last 16 hrs.  He states that his flow has been decreased for many years; however, for about 24 hours it has been reduced to a dribble and he has pain in his lower abdomen.  His history includes hypertension, DMII, and benign prostatic hyperplasia (BPH).  A urinary catheter is inserted and yields 750cc of cloudy, yellow urine.  The patient reports relief from pain.

  1. What are some factors that could contribute to acute urinary retention in a male? (USLO 1, 6)
  2. Describe the pathophysiology and complications associated with BPH. (USLO 6)

The urinalysis reveals increased WBCs.  A urine culture is ordered and the patient is started on antibiotics for a urinary tract infection (UTI). 

  1. What risk factors does this patient have that may predispose him to UTIs? Describe the teaching that you can provide to decrease his risk for UTIs? (USLO 1)

The patient undergoes surgery for his enlarged prostate. 

  1. What is a transurethral resection of the prostate (TURP)? Describe the important features of post-op care? (USLO 4, 6)

Some treatments for BPH and prostate cancer can cause erectile dysfunction (ED).

  1. What are the teaching points to include for the patient who chooses to use phosphodiesterase-5 (PDE-5) inhibitors for treatment of ED? (USLO 2, 3)

Reference no: EM133295583

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