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Flashcards in urology 3 Deck (7)
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1

what is the most common benign tumor

Benign prostate hyperplasia

2

AUA symptom score

way to quantify bhp symptoms
this helps cause diagnosis is usually on hx

3

physical exam for bph

DRE (size and consistency; if induration (bump) felt then needs a further work up for cancer)
neurological exam (sphincter tone; reflexes)
labs:
ua (look for uti)
creatinine
psa

4

how to differentiate bph from cancer

dre
psa

5

indications to do surgery and not medical mngmt for bph

Urinary retention, large bladder diverticuli, recurrent uti, gross hematuria, bladder stones or chronic kidney disease

6

bph mngmt

Alpha-1 adrenergic antagonists (alpha-blockers)- symptomatic tx
5-alpha-reductase inhibitors (reduces prostate size)
Antimuscarinics (anticholinergic)- symptomatic tx works on detrussur muscle
Phytotherapy
sal palmetto- can cause false negative w/ spa

7

guidline for bph tx

1st line: if sxs mild (AUA score 7: alpha blocker if pt is also hypertensive; use 5 alpha reductase inhibitor if prostate >40 g
3rd line: combo thearpy