GENITOURINARY DISORDERS NURSING DIAGNOSIS ASSESSMENT
1. Altered urinary elimination r/t congenital 1. Abdominal mass (firm and nontender)
HYPOSPADIAS anatomical defect of penis. 2. Mass felt over the kidney area
Congenital anatomical defect of the 2. Pain r/t surgery and treatments 3. Intravenous pyelogram (IVP),
male genitourinary tract, readily 3. Self-esteem disturbance /knowledge abdominal ultrasound confirm the
detected at birth through simple visual deficit diagnosis
examination. 4. Metastasis occurs most frequently to
In hypospadias, the urethral opening is NURSING MANAGEMENT the lungs; pain in chest, cough,
located on the ventral surface of the 1. Promote normal urinary function-teach dyspnea.
penile shaft; this makes voiding in the that surgery is done in several stages
standing position virtually beginning in the early months of life and NURSING MANAGEMENT
impossible,which creates potential for finishing by age 18 mos. 1. PROMOTE normal urinary function.-
serious psychological problems. 2. Promote self-esteem do not scold the inform family that surgery is scheduled
Surgical repair should be completed by child if he exposes penis, dressings, as soon as possible after confirmed
6 to 18 mos of age. catheters. diagnosis (within 24-48 hours)
3. Reassure parents that preoccupation
with penis is normal and will pass. 2. Preoperative - DO NOT PALPATE
4. Encourage calm, matter of fact ABDOMEN because the tumor is highly
acceptance of, and avoid strict friable, and palpation increases the risk
discipline for this behavior which could of metastasis.
affect the child negatively.
5. Inform the parents that early recognition 3. Postoperative care also includes long
is important so that CIRCUMCISION IS term radiation and chemotherapy
AVOIDED-FORESKIN USED FOR (actinomycin D, VINCRISTINE,
SURGICAL REPAIR ADRIAMYCIN)
WILM'S TUMOR (NEPHROBLASTOMA)
- A malignant tumor of the kidney is the
most common form of renal cancer in
ASSESSMENT children.peak incidence occurs at 3
1. Urethral opening is located on ventral years of age.
surface of penis.
2. May be accompanied y chordee- ventral TREATMENT OF CHOICE
curvature of the penis Idue to fibrous Nephrectomy followed by chemotherapy
band of tissue. and radiation.
- Higher in boys than girls.
- 90% of the cases occur unilaterally.
Prepared by: Sosa, Reycel Jean A. BSN2
1. Altered urinary elimination r/t congenital 1. Abdominal mass (firm and nontender)
HYPOSPADIAS anatomical defect of penis. 2. Mass felt over the kidney area
Congenital anatomical defect of the 2. Pain r/t surgery and treatments 3. Intravenous pyelogram (IVP),
male genitourinary tract, readily 3. Self-esteem disturbance /knowledge abdominal ultrasound confirm the
detected at birth through simple visual deficit diagnosis
examination. 4. Metastasis occurs most frequently to
In hypospadias, the urethral opening is NURSING MANAGEMENT the lungs; pain in chest, cough,
located on the ventral surface of the 1. Promote normal urinary function-teach dyspnea.
penile shaft; this makes voiding in the that surgery is done in several stages
standing position virtually beginning in the early months of life and NURSING MANAGEMENT
impossible,which creates potential for finishing by age 18 mos. 1. PROMOTE normal urinary function.-
serious psychological problems. 2. Promote self-esteem do not scold the inform family that surgery is scheduled
Surgical repair should be completed by child if he exposes penis, dressings, as soon as possible after confirmed
6 to 18 mos of age. catheters. diagnosis (within 24-48 hours)
3. Reassure parents that preoccupation
with penis is normal and will pass. 2. Preoperative - DO NOT PALPATE
4. Encourage calm, matter of fact ABDOMEN because the tumor is highly
acceptance of, and avoid strict friable, and palpation increases the risk
discipline for this behavior which could of metastasis.
affect the child negatively.
5. Inform the parents that early recognition 3. Postoperative care also includes long
is important so that CIRCUMCISION IS term radiation and chemotherapy
AVOIDED-FORESKIN USED FOR (actinomycin D, VINCRISTINE,
SURGICAL REPAIR ADRIAMYCIN)
WILM'S TUMOR (NEPHROBLASTOMA)
- A malignant tumor of the kidney is the
most common form of renal cancer in
ASSESSMENT children.peak incidence occurs at 3
1. Urethral opening is located on ventral years of age.
surface of penis.
2. May be accompanied y chordee- ventral TREATMENT OF CHOICE
curvature of the penis Idue to fibrous Nephrectomy followed by chemotherapy
band of tissue. and radiation.
- Higher in boys than girls.
- 90% of the cases occur unilaterally.
Prepared by: Sosa, Reycel Jean A. BSN2
