BPH

Question 1

Definition of BPH

Answer 1

Minor prostatic hypertrophy is normal as men age, but if it enlarges too much it can lead to bladder outflow obstruction as it presses on the prostatic urethra.

The cause is unknown but may be related to testosterone

Question 2

Presentation of BPH - 5

Answer 2

Difficulty urinating

Poor stream

Dribbling

Increased frequency and nocturia

Progressive bladder distention – may lead to overflow incontinence

Question 3

DRE finding of BPH

Answer 3

Firm, smooth and rubbery prostate

Question 4

Treatment of BPH - 4

Answer 4

• Catheterise first always
• Alpha blockers to relax SM at IUS e.g. Doxazosin
• Finasteride – prevents conversion of T to dihydrotestosterone which is the more potent form
  -Resection of the prostate.