BPH ☺️ Flashcards

1
Q

Risk factors

A

Increased age

Most common in black, then white, then asian

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2
Q

Presentation

A
LUTS
Voiding
-weak, intermittent flow
-straining
-terminal dribbling
-incomplete emptying

Storage

  • urgency
  • increased frequency
  • incontinence
  • nocturia
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3
Q

Complications of untreated BPH

A

UTIs
Retention
Obstructive uropathyq

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4
Q

Management

  • conservative
  • medical (1st, 2nd line and SE)
  • surgical
A

Watchful waiting

1st line - a1 ant

  • tamulosin => decrease SM tone in prostate, bladder
  • SE - dizzy, postural hypotension, dry mouth, depression

2nd line - 5ARinh

  • finasteride => block T -> DHT which causes BPH
  • reduction in prostate volume but takes time
  • SE - ED, low libido, ejaculation issues, gynecomastia

Surgery - TURP

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