Benign Prostatic Hyperplasia

Question 1

What is the most likely cause of BPH?

Answer 1

old age

Question 2

What is the pathology of BPH?

Answer 2

Hyperplasia of the cells of the prostate

Question 3

What are the symptoms of BPH?

Answer 3

Urine outflow obstruction

Increased frequency

Urgency

Hesitancy

Terminal dribbling

Poor stream

Question 4

In which McNeal’s Prostate zone does BPH grow?

Answer 4

Transitional zone

Question 5

DDx of BPH?

Answer 5

Prostate cancer

UTI

Nephrolithiasis

Question 6

Tests?

Answer 6

MSSU - rule out infection

Ultrasound of urinary tract

PR exam

Transrectal ultrasound w/biopsy

Question 7

What would be seen on ultrasound in BPH?

Answer 7

Increased residual volume

Hydronephrosis (later)

Question 8

What surgical management is there?

Answer 8

TURP

TUIP

Question 9

What does TURP stand for?

Answer 9

Transurethral resection of the prostate

Question 10

What does TUIP stand for?

Answer 10

Transurethral incision of the prostate

- For smaller glands

Question 11

Pharma treatment?

Answer 11

Alpha blockers

• Tamsulosin
• Doxasosin alternative

5 alpha reductase inhibitors
- Finasteride