Benign prostatic hyperplasia

Question 1

What Ix are indicated in BPH?

Answer 1

Urinalysis - WBC, RBC

PSA

UEC - renal function

Question 2

What are some medical treatments used in BPH? How do they work? Name some

Answer 2

Selective alpha-blockers - cause relaxation of smooth muscle at the bladder neck and prostate to reduct resistance to urinary flow.

Tamsulosin, Alfuzosin

5-alpha reductase inhibitors - Inhibitor 5-alpha reductase that is required for the convertion of testosterone to dihydrotestosterone (a stimulator of prostate growth). Causes reduction in prostate size.

Finasteride

Question 3

What are some surgical treatments for BPH?

Answer 3

TURP

Bladder neck incision

Open prostatectomy