Benign Prostatic Hyperplasia Flashcards

1
Q

What is the most likely cause of BPH?

A

old age

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2
Q

What is the pathology of BPH?

A

Hyperplasia of the cells of the prostate

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3
Q

What are the symptoms of BPH?

A

Urine outflow obstruction

Increased frequency

Urgency

Hesitancy

Terminal dribbling

Poor stream

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4
Q

In which McNeal’s Prostate zone does BPH grow?

A

Transitional zone

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5
Q

DDx of BPH?

A

Prostate cancer

UTI

Nephrolithiasis

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6
Q

Tests?

A

MSSU - rule out infection

Ultrasound of urinary tract

PR exam

Transrectal ultrasound w/biopsy

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7
Q

What would be seen on ultrasound in BPH?

A

Increased residual volume

Hydronephrosis (later)

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8
Q

What surgical management is there?

A

TURP

TUIP

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9
Q

What does TURP stand for?

A

Transurethral resection of the prostate

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10
Q

What does TUIP stand for?

A

Transurethral incision of the prostate

- For smaller glands

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11
Q

Pharma treatment?

A

Alpha blockers

  • Tamsulosin
  • Doxasosin alternative

5 alpha reductase inhibitors
- Finasteride

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