Benign Prostatic Hyperplasia
Introduction
The process of urination is vital to the body for the removal of certain waste products. Normally, when the bladder gets full, urine is emptied from the body through the urethra in a process called urination. In urinary retention, a person’s bladder fills up and there is an urge to urinate but he is unable to completely empty his bladder.
With chronic urinary retention, a person may be able to urinate, but he has some trouble starting a stream or emptying your bladder completely. He may urinate frequently, may feel an urgent need to urinate but have little success when he gets to the toilet; or he may feel he still have to go after having finished urinating. With acute urinary retention, he can 't urinate at all even though he has a full bladder. Acute urinary retention is a medical emergency requiring prompt action.
Acute urinary retention (AUR) is an extremely uncomfortable and potentially life-threatening condition characterized by a sudden inability to urinate associated with intense suprapubic discomfort. It is most often secondary to obstruction, but may also be related to trauma, medication, neurologic disease, infection, and occasionally psychological issues. Acute urinary retention (AUR) is one of the most significant, uncomfortable and inconvenient event in the natural history of benign prostatic hyperplasia (BPH). BPH is the virtual universal overgrowth of the prostate gland in men as they age. Various factors affecting BPH are age, genetic makeup, testosterone levels, and environment. As the prostate enlarges it compresses the urethra causing obstruction to urine flow. The urinary stream becomes smaller; there may be difficulty in initiating the stream, dribbling, and intermittent flow, frequency of urination, getting up at night to void (nocturia), inability to empty, or even inability to void at all (retention).
Patient’s Profile
Name: c
Age: 69
Address:
Civil Status: Married
Chief Complaint: Difficulty in urinating ptc
The process of urination is vital to the body for the removal of certain waste products. Normally, when the bladder gets full, urine is emptied from the body through the urethra in a process called urination. In urinary retention, a person’s bladder fills up and there is an urge to urinate but he is unable to completely empty his bladder.
With chronic urinary retention, a person may be able to urinate, but he has some trouble starting a stream or emptying your bladder completely. He may urinate frequently, may feel an urgent need to urinate but have little success when he gets to the toilet; or he may feel he still have to go after having finished urinating. With acute urinary retention, he can 't urinate at all even though he has a full bladder. Acute urinary retention is a medical emergency requiring prompt action.
Acute urinary retention (AUR) is an extremely uncomfortable and potentially life-threatening condition characterized by a sudden inability to urinate associated with intense suprapubic discomfort. It is most often secondary to obstruction, but may also be related to trauma, medication, neurologic disease, infection, and occasionally psychological issues. Acute urinary retention (AUR) is one of the most significant, uncomfortable and inconvenient event in the natural history of benign prostatic hyperplasia (BPH). BPH is the virtual universal overgrowth of the prostate gland in men as they age. Various factors affecting BPH are age, genetic makeup, testosterone levels, and environment. As the prostate enlarges it compresses the urethra causing obstruction to urine flow. The urinary stream becomes smaller; there may be difficulty in initiating the stream, dribbling, and intermittent flow, frequency of urination, getting up at night to void (nocturia), inability to empty, or even inability to void at all (retention).
Patient’s Profile
Name: c
Age: 69
Address:
Civil Status: Married
Chief Complaint: Difficulty in urinating ptc
References: Mosby, Elsevier. Mosby’s Guide for Nurses, 6th edition. Missouri, St. Louis: 2005 http://www.pennmedicine.org/encyclopedia/em_DisplayAnimation.aspx?gcid=000136&ptid=17 http://www.nsbri.org/humanphysspace/focus4/ep-urine.html http://kidney.niddk.nih.gov/kudiseases/pubs/UrinaryRetention/ http://www.uptodate.com/contents/acute-urinary-retention http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1477632/ http://www.scribd.com/doc/5989689/Case-Study-BPH http://wps.prenhall.com/wps/media/objects/3918/4012970/NursingTools/ch48_NCP_UrinElim_1316-1317.pdf http://www.drugs.com/cg/urinary-retention-in-men-aftercare-instructions.html