Lesson Plan ON Benign Prostatic Hyperplasia
Lesson Plan ON Benign Prostatic Hyperplasia
Lesson Plan ON Benign Prostatic Hyperplasia
ON
BENIGN PROSTATIC HYPERPLASIA
DATE : 25-03-2021
DURATION : 20 MINUTES
Specific Objectives
By the end of the seminar group will be able to
Explain the anatomy and physiology of male reproductive system.
Define Benign prostatic hyperplasia.
List down the incidence of BPH
Discuss the etiology of BPH
Explain the pathophysiology
Discuss the clinical manifestations
Describe diagnostic evaluations
Explain indetail about medical and surgical management
Describe the nursing management
Discuss health educati
2. Discuss the 2 min Anatomy and Physiology of Male Reproductive Lecture PPT What is the
method anatomy and
Anatomy and
System: The three primary roles of the male physiology of
Physiology of male
reproductive system are: reproductive
Male
Production and transportation of sperm system?
Reproductive
System Deposition of sperm in the female reproductive
tract
Secretion of hormones.
The primary reproductive organs in the male are the
Testes
Secondary reproductive organs include Ducts
(epididymis, ductus deferens, ejaculatory duct, and
urethra)
Sex glands (prostate gland, Cowper’s glands, and
seminal vesicles)
Define
Benign Definition:
3. 1 min Lecture OHP What is the
prostatic According to Blacks and Hawks, Benign prostatic
method definition of
hyperplasia (BPH), is a non-cancerous enlargement
hyperplasia. BPH?
of the prostate, a small gland that encircle the
urethra in males.
Incidence:
List down the Globally BPH, affects 210 million males as of 2019 Lecture PPT Listout the
incidence (6% of the population). method incidence of
4. 1min BPH?
For a symptom free man of 46 years, the risk of
developing BPH over the next 30 years is 45%.
Incidence rates increases from 3 cases per 1000
male population by the age of 75-79 years.
Prevalence rate is 2.7%.
Etiology:
Discuss the Age 50 years and above
5. etiology of Family history ppt
BPH. 1min Lecture What is the
Hormonal factors: testosterone and estrogen; late method etiology?
activation of cell growth
Diabetes mellitus
Diet-obesity.
Pathophysiology
As men ages the enzyme aromatase and 5 alpha reductase
Explain the
increase in activity
pathophysiol
Lecture Chart What is the
6. ogy of BPH. 2 method pathophysiolog
mins y of BPH?
These enzymes are responsible for converting androgen
hormones into estrogen and dihydrotestosterone
respectively.
Explain the
diagnostic Diagnostic Evaluations
evaluations of History and physical examination.
8. BPH. 4 Digital rectal examination (DRE). Lecture Hand Explain the
mins Uroflowmetry method outs diagnostic
evaluation?
Urinalysis with culture
Serum creatinine
Prostate specific antigen(PSA): 4.0 ng/ml
Transrectal ultrasound (TRUS)
Cystouretheroscopy
History collection and physical examination:
The primary methods used to diagnose BPH include:
History
Physical Examination.
A physical exam any help to diagnose BPH. During a
physical exam, a health care provider most often
examines patient body, which can include checking for:
Discharge from urethra
Enlarged or tender lymph nodes in the groin
Swollen or tender rectum.
Digital rectal exam
A digital rectal exam, or rectal exam, is a physical exam
of the prostate.
To perform the exam, the health care provider asks
the man to bend over a table or lie on his side,
while holding his knees close to his chest. Patient
may feel slight discomfort during the rectal exam.
Inserts a gloved finger into the rectum and feel the
part of the prostate next to rectum.
The prostate can be palpated by digital rectal
examination (DRE) to estimate its size, symmetry,
and consistency.
In BPH, the prostate is symmetrically enlarged,
firm, and smooth.
Uroflowmetry:
Uroflowmetry is a simple, diagnostic screening
procedure used to calculate the flow rate of urine
over time.
The test is non-invasive (the skin is not pierced)
and may be used to assess bladder and sphincter
function.
Uroflowmetry is performed by having a person
urinate into a special funnel that is connected to a
measuring instrument.
The measuring instrument calculates the amount of
urine, rate of flow in seconds, and length of time
until completion of the void.
This information is converted into a graph.
The information helps evaluate function of the
lower urinary tract or help determine if there is an
obstruction of normal urine outflow.
Cystoscopy
Cystoscopy can reveal a narrowing of the urethra
where it passes through the prostate gland,
indicating an enlarged prostate (benign prostatic
hyperplasia).
Urine test:
Analysing a sample of urine can help rule out an
infection or other conditions that can cause similar
symptoms.
CONCLUSION:
Thus, BPH is a disease affecting older adults which leads
to minor symptoms like urinary retention to major
symptoms like renal failure. Early treatment and
appropriate management show’s good prognosis.
BIBLIOGRAPHY
1. Toratora text book of Anatomy and physiology,
volume –II, 7th edition, page no. 1144-1169
2. Lewis, textbook of medical surgical nursing,
volume-I, 3rd edition, Elsevier publication, page no.
1375-1383
3. Suzanne C Smeltzers, textbook of medical surgical
nursing, 7th edition, Lippiciont publication, page
no. 350-364
4. Brunner and Suddharth, text book of medical
surgical nursing, 11th edition, Lippinciont
publication, page no. 2052-2061.
5. https://www.mayoclinic.org/tests-procedures/tuna-
ablation/about/pac-20384883
6. https://www.slideshare.net/SachinDwivedi15/benig
n-prostate-hyperplasia-bph-154142839