Medical Surgical Nursing

• Back pain, same symptoms as BPH – hesitancy, decrease pressure, frequency,
  dysuria, urinary retention, painful ejaculation.

Objective

• Symptoms from metastasis
  -? Blood in urine or semen.


• Lumps – inguinal


• Enlarged lymph nodes


• Blockage of urethra, and rectal dysfunction

Diagnostic Test – Prostate CA

Digital Rectal Examination

PSA- prostate specific antigen – elevated

Bone scan to detect metastasis

MRI, CT scan

Complications

Sexual dysfunction (gets worse with treatment)

Treatment – Prostate CA

Radiation, chemo, surgical removal

Complete surgical removal of the prostate, seminal vesicles, tips of the vas

deferens, and often the surrounding fat, nerves, and blood vessels

Bilateral orchiectomy (removal of testes)

TURP

Estrogen therapy – inhibits serum testosterone = contradicts

Agonists of LH – estrogen

Radioactive seed implant – rectally

Nursing process

Anxiety related to concern and lack of knowledge about the diagnosis, treatment

plan, and prognosis