Benign Prostatic Hyperplasia

Question 1

Risk factors

Answer 1

increasing age

Black people

Question 2

Presentation

Answer 2

LUTs

Question 3

Assessment

Answer 3

dipstick urine

U&Es: particularly if chronic retention is suspected

PSA: should be done if there are any obstructive symptoms, of if the patient is worried about prostate cancer

urinary frequency-volume chart -
should be done for at least 3 days

International Prostate Symptom Score (IPSS)
tool for classifying the severity of lower urinary tract symptoms (LUTS) and assessing the impact of LUTS on quality of life

Question 4

Management

Answer 4

1. watch and wait
2. alpha-1 antagonists - tamsulosin and alfuzosin
3. 5 alpha-reductase inhibitors - finasteride

moderate- severe symptoms combination therapy

4. antimuscarinic - tolterodine or darifenacin
5. surgery - TURP

Question 4

Management

Answer 4

1. watch and wait
2. alpha-1 antagonists - tamsulosin and alfuzosin
3. 5 alpha-reductase inhibitors - finasteride

moderate- severe symptoms combination therapy

4. antimuscarinic - tolterodine or darifenacin
5. surgery - TURP