Primary Nursing Diagnosis

Pain (acute/chronic) related to prostate inflammation and infection OUTCOMES. Pain control; Pain level; Pain: Disruptive effects

INTERVENTIONS. Analgesic administration; Medication administration; Pain management; Positioning

U PLANNING AND IMPLEMENTATION Collaborative

Most physicians prescribe antibiotic therapy based on the results of the bacterial cultures; sometimes parenteral antibiotics are required if the infection is systemic. Bedrest and local measures such as 20-minute sitz baths two or three times a day can assist in reducing pain. Regular sexual intercourse or ejaculation helps drainage of prostatic secretions and lessens infection and pain after the acute inflammation subsides. For acute episodes, and once antibiotics have been started, some physicians recommend regular prostatic massage for several weeks.

If drug therapy for chronic bacterial prostatitis is unsuccessful, on rare occasions the patient may undergo a transurethral resection of the prostate (TURP) to remove all infected tissue. Because this procedure may lead to retrograde ejaculation and sterility, it is usually done on older men. A total prostatectomy also has the risk of causing impotence and incontinence and is performed only when necessary.

Pharmacologic Highlights

Medication or Drug Class

Dosage

Description

Rationale

Trimethoprim

1 DS tablet bid for 30

Antibacterial

Eliminates causative organism; for

sulfamethoxa

days

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