Med Surg 1 - W3 (Urinary/MaleRepro) Exam
Questions and Answers with Verified
Solutions | Latest Updated 2026
BPH gland becomes enlarged and pinches
urethra
S&S:
frequent urination
weak stream
inability to empty bladder
dribbling at end
urination at night
urgency
difficulty starting stream
UTI clinical manifestations cloudy urine
back pain
blood in urine
painful urination
urgency
BPH diagnostics Prostate Specific Antigen (PSA)
- elevates if prostate cancer or infection
- not good for distinguishing cancer and
hypertrophy
benign = smooth
malignant = lumpy/hard
,BPH complications due to urinary stasis
- bladder infection
- bladder stones
- increasing kidney pressure ->
hydronephrosis,
post-renal AKI
BPH management "watchful waiting" - no intervention until
becomes a
problem
medications
surgery
BPH medications 5-alpha reductase inhibitors
alpha blockers
5-alpha reductase inhibitors shrinks prostate by stopping
testosterone/DHT
growth
Proscar (finasteride)
Avodart (dutasteride)
must wear gloves, pregnant women cannot
handle
alpha blockers increases flow of urine and decreases
smooth
muscle contraction of prostate
Flomax (tamsulosin)
Cardura (doxazosin)
lowers blood pressure -> FALL RISK
TUIP/TIP prostate resection for BPH
widens urethra
, prostatic stents high risk pain and uti
TURP post-op complications bleeding
clot retention -> blockage -> inability to
void
pain
UTI
BPH post-operative care monitor HR, B/P, look for excessive
bleeding,
monitor urine output, catheter stays in for
72hours
3 way foley: pulled down and taped to leg
to slow
bleeding
BPH post-op pain causes: incisional, bladder spasm, abd
cramps from
gas
relieve: NSAIDs, belladonna and opium
suppositories
Continuous bladder irrigation prevent blood clot formation
keep urine pink-clear
no red urine or clots
- if so, increase CBI flow
Calculating urine output with CBI total output - irrigation = urine output
TURP syndrome due to bladder irrigation
low BP, sodium, and hemoglobin
N/V, confusion, visual disturbances
Questions and Answers with Verified
Solutions | Latest Updated 2026
BPH gland becomes enlarged and pinches
urethra
S&S:
frequent urination
weak stream
inability to empty bladder
dribbling at end
urination at night
urgency
difficulty starting stream
UTI clinical manifestations cloudy urine
back pain
blood in urine
painful urination
urgency
BPH diagnostics Prostate Specific Antigen (PSA)
- elevates if prostate cancer or infection
- not good for distinguishing cancer and
hypertrophy
benign = smooth
malignant = lumpy/hard
,BPH complications due to urinary stasis
- bladder infection
- bladder stones
- increasing kidney pressure ->
hydronephrosis,
post-renal AKI
BPH management "watchful waiting" - no intervention until
becomes a
problem
medications
surgery
BPH medications 5-alpha reductase inhibitors
alpha blockers
5-alpha reductase inhibitors shrinks prostate by stopping
testosterone/DHT
growth
Proscar (finasteride)
Avodart (dutasteride)
must wear gloves, pregnant women cannot
handle
alpha blockers increases flow of urine and decreases
smooth
muscle contraction of prostate
Flomax (tamsulosin)
Cardura (doxazosin)
lowers blood pressure -> FALL RISK
TUIP/TIP prostate resection for BPH
widens urethra
, prostatic stents high risk pain and uti
TURP post-op complications bleeding
clot retention -> blockage -> inability to
void
pain
UTI
BPH post-operative care monitor HR, B/P, look for excessive
bleeding,
monitor urine output, catheter stays in for
72hours
3 way foley: pulled down and taped to leg
to slow
bleeding
BPH post-op pain causes: incisional, bladder spasm, abd
cramps from
gas
relieve: NSAIDs, belladonna and opium
suppositories
Continuous bladder irrigation prevent blood clot formation
keep urine pink-clear
no red urine or clots
- if so, increase CBI flow
Calculating urine output with CBI total output - irrigation = urine output
TURP syndrome due to bladder irrigation
low BP, sodium, and hemoglobin
N/V, confusion, visual disturbances
