Medical Surgical BPH #3

Question

The nurse’s client with benign prostatic hypertrophy (BPH) says “I feel like I have to really go to the bathroom, but when I get there, I only go a little and have a small amount of urine in my pants.” The nurse understands the client is experiencing which symptom of BPH?

Answers

  1. Stress incontinence
    • Rationale:

      This answer is not correct because stress incontinence is the involuntary leakage of urine on exertion. This is primarily seen in women with a weak pelvic floor due to childbirth, but can also be seen in men who have had prostate surgery.

  2. Urge incontinence
    • Rationale:

      This answer is correct because the client’s statement of feeling like he “really has to goâ€ and then experiencing small leakage describes urge incontinence. Urge incontinence is the involuntary leakage of urine preceded by an urgency to release the urine. This sensation is due to the bladder contractions from overstimulation of the detrusor muscle.

  3. Overflow incontinence
    • Rationale:

      This answer is not correct because overflow incontinence is the unexpected leakage of small amounts of urine due to a full bladder. This is caused by the enlarged prostate pressing against the bladder.

  4. Functional incontinence
    • Rationale:

      This answer is not correct because the client does not indicate he has problems getting himself to the bathroom. Functional incontinence is the inability to get to the bathroom on time due to mobility issues, communication problems, or the inability to respond to the bladder signals due to neurological issues.

Overview

BPH is enlargement of the prostate gland which compresses the urethra causing partial or complete obstruction. This in turn can cause urge incontinence, the involuntary leakage of urine preceded by an urgency to release the urine due to the sensation that the bladder contractions cause.

Explanation

Learning Outcomes

BPH is enlargement of the prostate gland which compresses the urethra causing partial or complete obstruction. Symptoms include urinary urgency, frequency, nocturia, post-void dribbling, hematuria, dysuria, and urinary tract infections from urinary stasis. Diet and nutrition plays an important role in all body functions; however, there is no specific diet to follow for clients with BPH. Acidic and spicy foods irritate the bladder. Urge incontinence is the involuntary leakage of urine preceded by an urgency to release the urine. This sensation is due to the bladder contractions from overstimulation of the detrusor muscle.

Test Taking Tip

Understand the difference in the incontinence types.

Video Rationale