5 Benign Prostatic Hyperplasia (BPH) Nursing Care Plans


Benign prostatic hyperplasia or benign prostatic hypertrophy is characterized by progressive enlargement of the prostate gland (commonly seen in men older than age 50), causing varying degrees of urethral obstruction and restriction of urinary flow. Depending on the size of the enlarged prostate, age and health of the patient, and the extent of obstruction, BPH is treated symptomatically or surgically.

Nursing Care Plans

Nursing care for patients with benign prostatic hyperplasia includes preparation for surgery (if possible) administration of medications for pain, and relieving urinary retention.

Below are five (5) nursing care plans (NCP) and nursing diagnosis for benign prostatic hyperplasia:

  1. Urinary Retention
  2. Acute Pain
  3. Risk for Deficient Fluid Volume
  4. Fear/Anxiety
  5. Deficient Knowledge
  6. See Also and Further Reading

Acute Pain

Nursing Diagnosis

May be related to

  • Mucosal irritation: bladder distension, renal colic; urinary infection; radiation therapy
  • Possibly evidenced by
  • Reports of pain (bladder/rectal spasm)
  • Narrowed focus; altered muscle tone, grimacing; distraction behaviors, restlessness
  • Autonomic responses

Desired Outcomes

  • Report pain relieved/controlled.
  • Appear relaxed.
  • Be able to sleep/rest appropriately.
Nursing InterventionsRationale
Maintain patient comfort.To prevent postoperative  complications.
Assess pain, noting location, intensity (scale of 0–10), duration.Provides information to aid in determining choice or effectiveness of interventions.
Tape drainage tube to thigh and catheter to the abdomen (if traction not required).Prevents pull on the bladder and erosion of the penile-scrotal junction.
Recommend bedrest as indicated.Bedrest may be needed initially during acute retention phase; however, early ambulation can help restore normal voiding patterns and relieve colicky pain.
Provide comfort measures such as back rub, helping patient assume position of comfort. Suggest use of relaxation and deep-breathing exercises, diversional activities.Promotes relaxation, refocuses attention, and may enhance coping abilities.
Encourage use of sitz baths, warm soaks to perineum.Promotes muscle relaxation.
Insert catheter and attach to straight drainage as indicated.Draining bladder reduces bladder tension and irritability.
Instruct in prostatic massage.Aids in evacuation of ducts of gland to relieve congestion and inflammation. Contraindicated if infection is present.
Administer medications as indicated:
Narcotics: meperidine (Demerol);Given to relieve severe pain, provide physical and mental relaxation.
Antibacterials: methenamine hippurate (Hiprex);Reduces bacteria present in urinary tract and those introduced by drainage system.
Antispasmodics and bladder sedatives: flavoxate (Urispas), oxybutynin (Ditropan).Relieves bladder irritability.

Recommended Resources

Recommended nursing diagnosis and nursing care plan books and resources.

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See also

Other recommended site resources for this nursing care plan:

Other care plans and nursing diagnoses related to reproductive and urinary system disorders:

Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Finding help online is nearly impossible. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively.
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