Why Patients with BPH at Increased Risk for Urinary Tract Infections

People with BPH are at an elevated risk of urinary tract infections because individuals are not able to empty the bladder completely. The remaining urine in the bladder acts as the growth medium for microorganisms such as bacteria (Lee &Kuo, 2017). Therefore, patients with BPH should be closely monitored for urinary tract infections.

Patient’s PSA Level to be after Surgery

The prostate-specific antigen (PSA) levels are expected to reduce to undetectable levels after the surgery (Gunda et al., 2018). This is especially with the removal of the entire prostate, where the PSA levels reduce almost to zero.

Recommended Screening Guidelines and Treatment for BPH

Men presenting with symptoms of lower urinary tract infections need a history assessment to determine the severity of symptoms and examine other causes of the symptoms. Men who are suspected to have BPH should be assessed using a validated questionnaire in order to quantify the severity of the symptoms (Davidian, 2016). In men presenting with symptoms of BPH, a urinalysis and a digital rectal examination are recommended to screen for other urologic infections. For men with mild BPH, they should be monitored carefully. Patients with severe and moderate symptoms of BPH should be administered with alpha-blockers to have symptomatic relief. In men having prostate volume higher than 40 mL, the patients should be administered with 5-alpha reductase inhibitors. If the treatment fails and the patient develops persistent hematuria, refractory urinary retention, and bladder stones, the patient should be referred for surgical consultation (Davidian, 2016). Inflammatory Bowel Disease and Urinary Obstruction Essay

Alternative Treatments/Natural Homeopathic Treatment Options

Some primary alternative remedies in the treatment of BPH include chimaphilla umbellata and pulsatilla. Chimaphilla umbellata helps in relieving urine retention and frequent urge to urinate. Pulsatilla is used to relieve discomfort associated with prostate problems (Kim et al., 2019). Saw palmetto is also a herbal remedy obtained from a palm tree and it is used to relieve urinary symptoms, encompassing the symptoms caused by an enlarged prostate. Homeopathic treatments that have been shown to be effective in the treatment of BPH include moxibustion and acupuncture. Lifestyle modifications such as being physically active, taking a lot of water, reducing alcohol intake, and consuming a healthy diet are effective in managing BPH (Kim et al., 2019). For example, soy and astragalus are medicinal plants used to boost the immune system and reduce the effects of BPH. Inflammatory Bowel Disease and Urinary Obstruction Essay