Benign prostatic hypertrophy (BPH) Flashcards
1
Q
BPH definition
A
Non-cancerous growth of prostate gland
2
Q
Usual location of BPH
A
Near urethra
3
Q
Symptoms of BPH (same as LUTI)
A
- hesitancy
- weak flow
- urgency
- frequency
- intermittency
- straining
- terminal dribbling
- incomplete emptying
- nocturia
- enlarged prostate
4
Q
Aspect of assessing prostate
A
- international prostate symptoms score (IPSS)
- digital rectal examination
- abdominal examination
- urinary frequency volume chart
- urine dipstick
- prostate-specific antigen (PSA)
5
Q
Why is PSA unreliable
A
Unspecific
6
Q
Complications of BPH
A
- UTIs
- hydronephrosis
7
Q
Mechanism of tamsulosin used in BPH
A
Relax smooth muscle
8
Q
Action timing for AB tamsulosin
A
Rapid
9
Q
Example of 5-alpha reductase inhibitor
A
Finasteride
10
Q
Effect of 5-alpha reductase
A
Reduce prostate size (inhibits testosterone —> DHT)
11
Q
Alpha blockers are used to … whereas 5-alpha reductase inhibitors work to ….
A
- relieve symptoms
- treat enlarged prostate
12
Q
Surgical intervention in BPH
A
Transurethral resection of prostate (TURP)
13
Q
Final note
A
Consider looking at surgical options in more depth before exams
