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Genitourinary > BPH > Flashcards

BPH Flashcards

1
Q

Who has the highest prevalence of BPH

A

> 90 yr old males

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2
Q

What is the most prevalent symptom of BPH

A

Decrease force of stream

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3
Q

BPH S/S

A

Detrusor muscle hypertrophy
Hyperplasia
Decreased bladder compliance
Nocturia
Urgency
Urinary retention
Unsteady stream
ER presentation: Acute retention

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4
Q

BPH diagnostics

A

UA to exclude infection
PSA if suspected to live greater than 10 years
CT or Renal US

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5
Q

What diagnostic test is not indicated for BPH

A

Cystoscopy

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6
Q

Pharmacological management of BPH

A

Alpha blocker = Flomax
5-alpha-reductase inhibitors = Finasteride
Phosphodiesterase-5 inhibitor = Tadalafil

Combination Therapy
Alpha blockers + 5-alpha reductase inhibitors
• Finasteride + Doxazosin

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7
Q

What are absolute surgical indicators for BPH

A

Refractory urinary retention
Large bladder diverticula
Recurrent UTI
Gross hematuria
Bladder stones
CKD

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8
Q

What surgical procedures are available for BPH

A

TURP or laser therapy

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Genitourinary (7 decks)

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