BPH

Question 1

In which area of the prostate does BPH arise?

Answer 1

Inner transitional layer of prostate

Question 2

List three symptoms of BPH

Answer 2

storage symptoms: nocturia, frquency, urgency, overflow incontinence

voiding symptoms: hesitancy, straining, poor stream, terminal dribbling, incomplete emptying, urinary tenesmus

bladder stones, UTIs

Question 3

Describe the feeling of BPH in a PR exam

Answer 3

smoothly enlarged

definable median sulcus

Question 4

Two investigations for BPH?

Answer 4

blood: U+Es, PSA
Transrectal US + biopsy
Voiding diary
Flow cystometry

Question 5

Three management options for BPH?

Answer 5

Conservative: avoid caffeine, double voiding, bladder training

Medical: alpha blockers- tamsulosin

Surgery: TURP, prostatectomy

Question 6

Which is the main drug used in BPH?

Answer 6

tamsulosin

Question 7

Two SE of tamsulosin?

Answer 7

drowsiness, hypotension, depression, increasedw weight gain

Question 8

MOA of tamsulosin?

Answer 8

alpha blocker

Question 9

Indication for finasteride and what is its MOA?

Answer 9

BPH, second line

Inhibits conversion of testosterone

Question 10

Name two complications of BPH

Answer 10

Haemorrhage
Infection
Clot retention 
Incontinence
Urethral stricture
Recurrence
Retrograde ejaculation

Question 11

Name two indications for performing surgery in BPH

Answer 11

symptoms affect QoL

complications of BPH