BPH

Question 1

BPH

Answer 1

A progressive condition characterized by enlargement of the prostate gland commonly seen in males greater than 50 years of age

Question 2

BPH Incidence

Answer 2

Affects 50% of men by age 50

Affects > 80% of men older than 80 years of age

Question 3

BPH causes

Answer 3

Unknown; theorized prostate response to androgen hormones over time

Question 4

BPH Sign/Symptoms

Answer 4

Frequency
Dysuria
Urgency
Nocturia
Incontinence
Hesitancy
“starting and stopping “urinary flow
Dribbling
Retention

Question 5

BPH Lab/Diagnostics

Answer 5

UA: to detect infection
Prostate-specific antigen (PSA) >4 abnormal; age-specific ranges are based on having had a PSA <4
40-49 <2.5
50-59 < 3.5
60-69 <4.5
70-79 <6.5

**Approximately 40% of patients with prostate cancer present with normal prostate specific antigen values
Transrectal ultrasound if there is palpable nodule or elevated PSA

Question 6

BPH Managment

Answer 6

Observed condition and consult/refer to your all just as needed
Alpha blockers: Terazosin, prazosin,tamsulosin to relax muscles of the bladder and prostate
Five – alpha – reductase inhibitors: finasteride and dutasteride to shrink large Crossgates
Surgery if significant urinary symptoms persist: transurethral resection of the prostate
Saw Palmetto: may approve symptoms and some men; no evidence that it decreases prostate cancer risk
Avoid medication’s that were sent signs/symptoms of benign prostate hyperplasia or (antihistamines, decongestants, SSRIs)