BPH Flashcards
1
Q
What is the definition of BPH?
A
Enlargement of the prostate
2
Q
How common is BPH?
A
Very common
3
Q
What is the pathology of BPH?
A
- Hyperplasia of both glandular and connective tissue
* Likely due to a failure of apoptosis
4
Q
What are the risk factors/aetiology of BPH?
A
- Age >60
* Afro-American origin
5
Q
What are the signs/symptoms of BPH?
A
- Frequency
- Nocturia
- Hesitancy
- Dribbling
- Acute urinary retention/retention with overflow incontinenc
- Palpable bladder
- Enlarged smooth prostate felt in PR exam
6
Q
What diseases present similarly to BPH?
A
- Lower urinary tract infection
- Bladder stones
- Prostate/bladder cancer
7
Q
What investigations are conducted for suspected BPH?
A
- PSA
- U&E’s
- Serum electrolytes
- Urine dipstick
- Renal US
- Prostate biopsy
8
Q
What are the surgical treatments for BPH?
A
- Prostatectomy
- Transurethral resection of prostate (TURP)
- Urethral/suprapubic catheterisation
9
Q
What are the pharmacological treatments for BPH?
A
- Selective α1 adrenoceptor antagonists e.g. tamsulosin
* 5α reductase inhibitor
10
Q
What are the non pharmacological treatments for BPH?
A
- Do nothing and watch for mild symptoms
- Healthy diet
- Exercise
