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week 6 discussion 2

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Exam of 3 pages for the course 6 discussion 2 at 6 discussion 2 (week 6 discussion 2)

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Dr. Sizemore and classmates,

UTI

Women’s Risk factor for UTI: Diabetes, history of UTI, sexual intercourse, estrogen deficiency,

urinary catheterization, and urinary incontinence (Lee & Le, 2018).

Men’s risk factors for UTI: Congenital anomalies of the genitourinary system, renal calculi,

benign prostatic hypertrophy, polycystic kidney disease, and renal lesions (Lee & Le, 2018).

UTI more concerning: Overall, a UTI is more concerning in males because they have increased

risk for complications. In general, a UTI in a male is always considered a complicated UTI,

whereas females can have either a complicated UTI or an uncomplicated UTI (Geerlings,

2016). Situation where UTI are not Treated: The most common situation in which a UTI

would not be treated is when there is pyuria and/or bacteriuria but the patient does not have

any symptoms of a UTI, such as a patient that has an indwelling Foley catheter (Sabih & Leslie,

2018).

BPH

The American Urology Association guideline on PSA levels:

• Age of <40: PSA levels should not be done on men less than the age of 40 because this

age group has a very low prevalence of detectible prostate cancer and the benefits of

screening have not been proven.
• Age of 40 to 54: Routine screening is not recommended in men between the ages of 40

to 54 years who are at average risk of prostate cancer; those that are at higher risk in

this age group should be screened on an individual case-by-case basis.
• Age of 55 to 69: For all men between 55 and 69 years, the screening should be

individualized and based on the likelihood of prostate cancer and how each patient

feels about screening.

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