Page 1866 - Saunders Comprehensive Review For NCLEX-RN

i. Urine culture is usually positive for
gram-negative bacteria, especially after
prostate massage.
2. Abacterial prostatitis (most common form of chronic
prostatitis)
a. Backache
b. Dysuria
c. Perineal pain
d. Frequency
e. Hematuria
f. Irregularly enlarged, firm, and tender
prostate
C. Interventions
1. Encourage adequate fluid intake.
2. Instruct the client in the use of tub or sitz baths to
promote comfort.
3. Administer antibiotics, analgesics, antispasmodics,
and stool softeners as prescribed.
4. Inform the client of activities to drain the prostate,
such as intercourse, masturbation, and prostatic
massage.
5. Instruct the client to avoid spicy foods, coffee, alcohol,
prolonged automobile rides, and sexual intercourse
during an acute inflammation.

XXV. Benign Prostatic Hypertrophy (Hyperplasia)

A. Description
1. Benign prostatic hypertrophy (benign prostatic
hyperplasia; BPH) is a slow enlargement of the
prostate gland, with hypertrophy and hyperplasia of
normal tissue.
2. Enlargement compresses the urethra, resulting in
partial or complete obstruction.
3. Usually occurs in men older than 50 years
B. Assessment
1. Diminished size and force of urinary stream (early
sign of BPH)
2. Urinary urgency and frequency
3. Nocturia
4. Inability to start (hesitancy) or continue a urinary
stream
5. Feelings of incomplete bladder emptying
6. Postvoid dribbling from overflow incontinence (later
sign)
7. Urinary retention and bladder distention
8. Hematuria
9. Urinary stasis and UTIs
10. Dysuria and bladder pain

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