BPH/LUTS

Question 1

In assessing a patient with BPH, what tests should be done, and what should be considered?

Answer 1

• UA, IPSS, and PVR SHOULD be done

- consider assessment if prostate size, consider uroflow, consider VUDS

Question 2

What are indications for BPH surgery?

Answer 2

• AKI from hydro
• refractory retention to mess
• recurrent UTI
• bladder stones
• gross hematuria from BPH

Question 3

To whom can you offer Urolift?

Answer 3

Men with prostate is less than 80 g and without a middle lobe

Question 4

What are the only things that you really have to do when assessing somebody for BPH surgery? Meaning, what are the specific aspects of the history and work up?

Answer 4

IPSS, UA, PVR, and assessment of prostate size (either TRUS or cross sectional imaging)

Question 5

What should you do for an OAB pt who is having difficulty tolerating anticholinergics 2/2 constipation and dry mouth?

Answer 5

Try to manage SEs before giving up or decrease dose or change medication.

Question 6

What is the only test you need in the diagnosis of OAB?

Answer 6

UA. All other tests only recommended in cases where the diagnosis is unclear.