Nurs 3366 - Disorders of the Male and Female specific GU problems

What is Benign Prostate Hyperplasia(BPH)?

enlarged prostate

• proliferation of prostate glandular tissue

What are the S&S of BPH?

• urgency and delay in starting urine flow

• decrease in flow of urine, urine retention

How do you diagnose BPH?

• enlarged prostate is felt on digital rectal exam (DRE)

• elevated Prostate Specific Antigen(PSA)

What is the treatment of BPH?

surgery to decrease size—TURP (transurethral resection of the prostate)

What is Prostate cancer?

malignant neoplastic condition of the prostate gland

• S&S similar to BPH

How do you diagnose Prostate cancer?

an increase in Prostate Specific Antigen(PSA)

What are the risk factors of Prostate cancer?

• age over 54

• a diet high in saturated fat

• high testosterone levels (promotes tumor growth)

• African American race

What is Testicular cancer?

malignant neoplastic condition of the testicle.

What are the risk factors for Testicular cancer?

• occurs most commonly in age range 15-35;

• higher incidence in males with unresolved cryptorchidism (undescended testes)

What is the detection method of testicular cancer?

has a cure rate of 95% when caught early

• testicular self-exam should be done monthly, for early detection

What are the other male specific infections?

prostatitis and urethritis

• caused by Chlamydia and Gonorrhea

What is the Dysmenorrhea?

general term for menstruation that is more painful, frequent, and/or larger in bleeding volume than is normal

What is Amenorrhea?

absence of menses

What is Endometriosis?

ectopic endometrium in pelvis

• caused by retrograde menstruation

What are the S&S of Endometriosis?

• dyspareunia (pain during intercourse)

• dysmenorrhea

• pelvic pain

leads to infertility

What is Ovarian cancer?

malignant neoplastic condition of the ovaries with unknown etiology

What are the S&S of Ovarian cancer?

vague S&S—bloat, vague abdominal discomfort, constipation

• so often not diagnosed till has metastasized to areas such as liver

What is Pelvic Inflammatory Disease(PID)?

infection of cervix(cervicitis)

• uterus(endometritis and/or myometritis)

• fallopian tubes (salpingitis)

• ovaries (oopheritis)

caused by chlamydia

What are the S&S of PID?

• vaginal discharge

• pelvic pain that worsens with movement

What are the Urological Infections?

• involve bladder (cystitis)

• kidneys (pyelonephritis)

• entire tract (UTI—urinary tract infection)

more common on women

What are the S&S of Urological Infections?

• dysuria --pain on urination

• frequency and urgency of urination

• hematuria - blood in urine

• pyuria--pus in urine

• abdominal & back pain at costovertebral angle where kidneys are located (if pyelonephritis)