Benign Prostatic Hyperplasia

Question 1

In Benign Prostatic Hyperplasia, what cells are affected

Answer 1

Stromal + epithelial Cells

Question 2

in Benign Prostatic Hyperplasia, what group of symptoms does it present with

Answer 2

Lower Urinary Tract Symptoms (LUTS)

Question 3

What are 5 LUTS found in Benign Prostatic Hyperplasia

Answer 3

Hesitancy
Frequency
Nocturia

Terminal Dribbling
Weak flow

Question 4

What are 4 investigations done in Benign Prostatic Hyperplasia

Answer 4

Digital Rectal Examination

PSA

Urine Dipstick

Abdominal Examination

Question 5

What does a cancerous prostate feel like in a Benign Prostatic Hyperplasia (4)

Answer 5

Firm/Hard

Asymmetrical

Irregular

Loss of central Sulcus

Question 6

Why is a PSA unreliable (3)

Answer 6

High in:

==> Prostate cancer
==> Prostatitis
==> UTI

Question 7

Alpha blockers can be used in Benign Prostatic Hyperplasia. Name an example of a alpha blocker

Answer 7

Doxazocin // Tamsulosin

==> Relaxers SMC thus relieves symptoms

Question 8

What type of inhibitor can be given in Benign Prostatic Hyperplasia? Why is this given

Answer 8

5 Alpha Reductase Inhibitor // Finasteride

==> Prevents Testosterone -> DHT thus reducing size of prostate

Question 9

Name an example of a 5 alpha reductase inhibitor

Answer 9

Finasteride

Question 10

What type of surgery can be done in a Benign Prostatic Hyperplasia

What type of loop is used

Answer 10

Transurethral Resection of Prostate

Diathermy Loop

Question 11

what are 4 complications of a Benign Prostatic Hyperplasia

Answer 11

Urinary Retention

UTI

Bladder Damage

Blood in urine