Question

CHAPTER 5 GENITOURINARY DISORDERS CASE STUDY 55 Copyright © 2013 by Mosby, an affiliate of Elsevier Inc. Copyright © 2009, 2005, 2001, 1996, by Mosby, Inc. an affiliate of Elsevier Inc. All rights reserved.

S.M. is a 68-year-old man who is being seen at your clinic for routine health maintenance and health promotion. He reports that he has been feeling well and has no specific complaints, except for some trouble “emptying my bladder.” Vital signs (VS) at this visit are 148/88, 82, 16, 96.9° F (36.1° C). He had a CBC and complete metabolic panel (CMP) completed 1 week before his visit, and the results are listed below
.SM lab work

Laboratory Test Results
Sodium       140 mEq/L
Potassium   4.2 mEq/L
Chloride100   mEq/L
Bicarbonate   26 mEq/L
BUN       19 mg/dL
Creatinine   0.8 mg/dL
Glucose       94 mg/dL
RBC5.2       million/mm3
WBC       7400/mm3
Hgb       15.2 g/dL
Hct       46%
Platelets       348,000/mm3
Prostate-specific antigen (PSA)   0.23ng/mL
Urinalysis               WNL

9. S. M. asks, “Will this condition affect my relationship with my wife?” What should you tell him

10. What would you expect S.M. to report if the medication was successful?
CASE STUDY PROGRESS:
S.M. returns in 8 months to report that his symptoms are worse than ever. He has tried several different medications, but medication management failed, and he is told that surgical intervention is necessary.

11. What surgical options are available to S.M.?

CASE STUDY OUTCOME
S.M. elected to undergo a Gyrus transurethral resection of the prostate (TURP). He did well postoperatively and was discharged to home

Answer 1

9) you dont have to worry about your relationship with your wife.You dont necessarily have to avoid sex.Typically sex won't worsen the disease condition. However, some men experience pain with ejaculation. This can interfere with the enjoyment of sex.

10) if the medication was succesful ,the S.M will report a symptomatic relief. Medications can relax the bladder neck and the muscle fibers and it can improve the emptying of bladder and the medications are also helpful in relieving the inflammation

11) Transurethral resection of prosrate

Transurethral vaporization of prostate.

Note : please do like the answer.