6. Benign prostatic hypertrophy Flashcards
1
Q
How common is it?
A
3 in 4 of men in their 70s
4 in 10 of men in their 50s
2
Q
What causes it?
A
Hyperplasia of stromal and glandular cells
Thought to be mediated by dihydrotestosterone
Compression of the urethra –> obstruction of bladder outlet
3
Q
What risk factors are there?
A
Obesity
Diabetes
FH
4
Q
How does it present?
A
LUTS - hesitancy / urgency Straining Prolonged micturition Frequency Nocturia
5
Q
What signs may the patient have on examination?
A
Palpable enlarged prostate on DRE
Smooth surface, non-tender, loss of median furrow
6
Q
What other conditions might present similarly?
A
Malignancy
UTI
7
Q
What other conditions might present similarly?
A
Malignancy
UTI
Diabetes
8
Q
How would you investigate?
A
DRE
PSA blood test
Urinalysis (glucose)
9
Q
What treatments are there?
A
Depends on symptoms Alter fluid intake, bladder training Medicines - alpha blockers, anticholinergics, diuretics Catheterisation TURP
10
Q
What complications are there?
A
UTI
Urinary retention
