Benign Prostatic Hypertrophy

Question 1

What is Benign prostatic hyperplasia (BPH)?

Answer 1

Hyperplastic process, meaning there is an increased number of cells

Question 2

What is most common benign tumor in men?

Answer 2

BPH

Question 3

BPH is age related, at what ages do most men report sx?

Answer 3

55 y/o, 25% of men report obstructive voiding sx
75 y/o, 50% of men report decrease in force and caliber

Question 4

What is the most important tool used for the evaluation of BPH?

Answer 4

American Urological Association (AUA) sx index

Question 5

What labs and findings would be found with BPH?

Answer 5

UA: to exclude infection or hematuria
PSA

Question 6

What imaging should be done for BPH?

Answer 6

Not routinely ordered
CT or renal ultrasound

Question 7

What imaging should be ordered for BPH in determining surgical approach for treatment?

Answer 7

Cytoscopy

Question 8

How should a patient with AUA score between 0-7 be treated?

Answer 8

Watchful waiting

Question 9

What medications can be given for BPH?

Answer 9

Alpha blockers (terazosin, tamsulosin)

Question 10

What are surgical indications for BPH?

Answer 10

Refractory urinary retention (failing at least one attempt at catheter removal)
Large bladder diverticula

Question 11

When should BPH be referred to urology?

Answer 11

AUA score >7
Urinary retention
Hematuria
Recurrent UTIs