Question

CLINICAL SCENARIO: Incontinence/Benign Prostatic Hyperplasia (BPH)

Mr. X 65 male living in a hospice care, a hypertensive patient for 20 years, with maintenance medication of Captopril, Amlodipine, Furosemide and Celecoxib for arthritis. Mr. X does not participate in social activities in the hospice and he almost resist to drink plenty of fluids. The nurse noticed that he can’t control to micturate and before he reach the comfort room his pants gets wet. Since he suffered incontinence the patient became inactive and seldom participate in their socialization. Patient was diagnose with BPH and with prescription of Tamsulosin. Her nurse advised him to limit caffeine intake and do a daily Kegel’s exercise, don’t hesitate to go to CR. Diagnostics and laboratory procedure: Prostate Specific Antigen (PSA) elevated.

1. Make a pathophysiology of the disease based on the case scenario.

Answer 1

Pathophysiology of BPH

the etiological factors like increasing age will lead to alteration in the synthesis of testosterone hormones in the male. Along with poor lifestyle like lack of exercise .This overtime will lead to histological changes in the genitourinary system and hyperplasia of cells. As a result loss of bladder control happens .This will lead to dribbling and incontinence of the urine. This will affect the social life of the patient restricting them to socialize .In order to prevent further symptoms medications has to be administered along with Kegel exercise practiced daily.