1. Nursing Care of the Client Experiencing Alterations in the Male Reproductive Process

2. Group Issues Guidelines on Prostate Cancer Screening . . .
The American Cancer Society has released updated guidelines calling on doctors to discuss with their patients the risk and benefits of prostate-specific antigen tests by age 50 before allowing them to undergo screening. The guidelines come after two studies showed conflicting findings about whether routine PSA tests improve survival

3. Men at Mid-Life - The Prostate Generation
Nursing Care of the Client Experiencing Alterations in the Male Reproductive Process
Men at Mid-Life - The Prostate Generation

4. Conditions of the Prostate
Benign Prostatic Hypertrophy/Hyperplasia (BPH)
Prostate Cancer
Prostatitis

5. Prostate Gland

6. Benign Prostatic Hypertrophy/Hyperplasia (BPH)
Enlarged gland obstructs urinary outlet
More common in men over 50

7. Symptoms Voiding Symptoms Decreased force in voiding Hesitancy
Intermittency
Dribbling
Incomplete emptying

8. Irritative Symptoms Frequency Urgency Dysuria Bladder Pain Nocturia
Incontinence

9. Complications of BPH Urinary Retention UTI Hydronephrosis Hydroureter
Renal Failure

10. Catheterization
Coude
Stylet

11. Treatment Watchful waiting Medications Herbal Therapy Surgery
Anti-androgen
finasteride (Proscar)
Adrenergic blockers
terazosin (Hytrin)
Herbal Therapy
Saw Palmetto
Surgery

12. Prostate Cancer Most common cancer in men
Second most common cause of cancer death in men > 55
Higher incidence in African American males
Diet

13. Clinical Manifestations
Initially symptom less
Later see signs and symptoms of urinary obstruction
Metastasizes to the bone and lymph nodes

15. Detection Routine Screening Ultrasound Biopsy
Prostate Specific Antigen (PSA)
Digital Rectal Exam
Ultrasound
Biopsy

16. Treatment Hormonal Manipulation Surgery Radiation Orchiectomy
Medications
Surgery
Radical Prostatectomy
Radiation
Curative, adjunctive, palliative

17. Radioactive Seeds

18. Prostatectomy Closed procedures Open procedures
Transurethral resection (TUR)
Transurethral incision of the prostate (TUIP)
Open procedures
Suprapubic
Perineal
Retropubic

19. Transurethral Resection (TUR)

20. Radical Prostatectomy - Open Procedures

21. Complications Erectile dysfunction Incontinence Hemorrhage Infection
Continuous Bladder Irrigation (CBI)
Infection
Deep vein thrombosis
Obstructed catheter

22. Continuous Bladder Irrigation (CBI)

24. Prostatitis Bacterial or Abacterial Complications Treatment
UTI’s, septicemia
Treatment
Antibiotics
Comfort measures

25. Disorders of Male Sexual Function
Erectile Dysfunction

27. Treatment Medical Treat underlying condition
Pharmacological (anti-impotence agents)
sildenafil (Viagra)
vardenafil (Levitra)
tadalafil (Cialis)

28. Treatment - Continued Surgical Psychological therapy Education
Penile Implants
Psychological therapy
Education
Andropause

30. World Health Organization
Sexual health is the integration of somatic, emotional, intellectual, and social aspects of sexual being in ways that are enriching and that enhance personality, communication, and love.