What is an Enlarged Prostate?
An
enlarged prostate, also known as benign prostatic hyperplasia (BPH), is a common condition that affects older men. It occurs when the prostate gland, which is located below the bladder and surrounds the urethra, enlarges and causes urinary symptoms due to the compression of the urethra.
Frequent urination, especially at night (
nocturia)
Difficulty starting and stopping urination
Weak urine stream or a stream that stops and starts
Inability to completely empty the bladder
Dribbling at the end of urination
A digital rectal exam (DRE) to feel the size of the prostate
Urine tests to rule out infection or other conditions
Blood tests to check kidney function
Prostate-specific antigen (PSA) blood test
Ultrasound or other imaging tests
Medications: Alpha blockers, 5-alpha reductase inhibitors
Minimally invasive procedures: Transurethral microwave therapy (TUMT), Transurethral needle ablation (TUNA)
Surgery: Transurethral resection of the prostate (TURP), laser therapy
Educating patients about the condition and treatment options
Monitoring for side effects of medications
Assisting with
preoperative and postoperative care for surgical patients
Providing support and counseling for lifestyle modifications
Helping manage complications such as urinary retention and infection
Limit intake of fluids before bedtime
Avoid
caffeine and alcohol as they can irritate the bladder
Practice double voiding (urinating, then waiting a few moments and trying again)
Engage in pelvic floor exercises
Maintain a healthy diet and weight
Bladder stones
Bladder or kidney damage
Acute urinary retention
Urinary tract infections (UTIs)
Conclusion
Understanding the role of nurses in the management of an enlarged prostate is essential for providing comprehensive care. By educating patients, monitoring treatment effects, and supporting lifestyle changes, nurses can greatly improve the quality of life for men affected by this common condition.
