B8-040 Benign Prostatic Hyperplasia

Question 1

most common cause of post-TURP hyponatremia

Answer 1

dilutional

Question 2

what medications reduce the need for BPH related surgery?

Answer 2

5-a-reductase inhibitors (finasteride)

Question 3

what is the best indication for treatment of BPH symptoms?

Answer 3

degree of bother

Question 4

most common location of prostate cancer

Answer 4

peripheral zone

Question 5

most common location of BPH

Answer 5

transition zone

Question 6

[…] cancer in the mother is a risk factor for prostate cancer

Answer 6

breast

(BRCA2)

Question 7

describe what’s going on in these uroflowmetry graphs

Answer 7

a. normal male
b. normal female
c. and d. intermittent flow
e. prolonged weak stream

Question 8

[…] inhibition leads to prostatic relaxation

Answer 8

a1

Question 9

block the conversion of T to DHT

Answer 9

5a reductase

Question 10

older a1 blockers can cause […]

Answer 10

orthostatic hypotension

(doxazosin/terazosin, but cheap)

Question 11

which a1 blocker has to lowest rate of retrograde ejaculation?

Answer 11

alfuzosin

Question 12

what medication is able to reduce prostate volume up to 20%?

(show to reduce need for surgery)

Answer 12

5a reductase inhibitors

(finasteride- type 2, dutasteride type 1 and 2)
(du=dual)

Question 13

NOS mediated smooth muscle relaxation

Answer 13

PDE5 inhibitors

Question 14

used to relieve irritative symptoms [2]

Answer 14

anticholinergics (oxybutynin)
beta 3 agonists (mirabegron)

Question 15

AUA recommends […] for prostate cancer screening in men ages 55-70

Answer 15

shared decision making

(1-2 year intervals)

Question 16

water vapor therapy that uses steam to destroy adenoma

Answer 16

rezum

Question 17

staple-like implants that hold the prostatic lobes apart

Answer 17

urolift

Question 18

non-surgical, minimally invasive surgical options [2]

Answer 18

rezum
urolift

Question 19

historical gold standard prostate surgery

Answer 19

TURP

Question 20

benefits of laser ablation over TURP

Answer 20

less blood loss
shorter catheterization
outpatient

Question 21

disadvantage of laser ablation over TURP

Answer 21

no tissue for pathology

Question 22

surgical technique that has supplanted open surgery removal for very large glands

Answer 22

laser enucleation

Question 23

laser goes between the prostate capsule and adenoma

tissue then morcellated and pulled out in pieces for pathology

Answer 23

laser enucleation

(great for very big glands)