BPH

Question 1

Interruption of urinary system

Answer 1

Intermittent

Question 2

diff. or delay in starting

Answer 2

hesitancy

Question 3

reduced or weaker urine flow

Answer 3

decreased urinary system

Question 4

Prostatic enlargementintrusion into the urethral luma - higher bladder outlet resistance

Answer 4

MECHANICAL COMPONENT

Question 5

prostatic stroma, composed of smooth muscle, and collagen, rich in adrenergic nerve supply,

use of a-blocker therapy decreases this tone, decreases in outlet resistance.

Answer 5

DYNAMIC COMPONENT

Question 6

Detrussor takes a longer time to generate the initial inrease pressure to overcome urethral resistance

Answer 6

hesitancy

Question 7

detrussor is unable to sustain the increase pressure until the end of voiding

Answer 7

interruption of urinary system

Question 8

reliable predictor of degree of LUTS
MILD: 0-7
Moderate- 8-19
SEVERE - 20-35

Answer 8

International Prostate Symptom Score

Question 9

recommended in the presence of concomitant Uti or complication form boh, hematuria, renal insufficiency
-useful to determine prostate size for men planning to undergo prostate surgery who are suspected to have severe prostate enlargement based on DRE

Answer 9

upper tract imaging
renal utrasound or CT urogram

Question 10

Has been shown to result in both objective and subj degrees of improvement in symptoms and signs of bph. Contractile properties of the prostate and bladder neck seems to be mediated primarily by this subtype

Answer 10

a1a-receptors

Question 11

a-blockers nonselective

Answer 11

Phenoxybenzamine 10mg twice a day

Question 12

a1 short acting

Answer 12

Prazosin 2 mg twice a day

Question 13

a1 LONG ACTING

Answer 13

Terazosin 5 or 10 mg daily
Doxazosin 4 or 8 mg dailu

Question 14

5a-reducrase inhibitors

Answer 14

Finasteride 5 mg daily
Dutasteride 0.5. mg daily

Question 15

a1a - Selective

Answer 15

Tamsulosin 0.4 or 0.8 mg daily
Alfuzosin 10 mg daily
Silodosin 8 mg daily

Question 16

side effects

Answer 16

orthostatic hypottension
dizzy
tiredness
retrograde ejac
rinitis
headache

Question 17

a 5a-reductase inhibitor that blocks conversion of testosterone to dihydrotestosrerone DHT
affects epithelial component of the prostate results to reduction of the size of the gland and improve symptoms.

Answer 17

FINASTERIDE

Question 18

It inhbits both iso-enzymes of 5a-reductase reduces serum PSA and tital prostate volume

Answer 18

Dutasteride

Question 19

It inhbits both iso-enzymes of 5a-reductase reduces serum PSA and tital prostate volume

Answer 19

Dutasteride

Question 20

side effects of 5a reductase

Answer 20

erectile dysfunction
decrease libido
gynecomastia
ejaculayion d/o

Question 21

Phytotherapy

Answer 21

use of plants or plants extratcs
saw palmetto berry (serenoa repens0

Question 22

VAST MAJORITY OF SUBTITAL PROSTATETCOMIES UNDERTAKEN FOR BPH completed endoscopically.
involces the use of spinal or ge anesthesia - overnight hosp stay8

Answer 22

Turp

retrograde ejaculation &5%
impotence 5-10 &
incontinence (<1)

Question 23

two most commonly used devoces for TUVP

Answer 23

neodymium doped yttrium alluminum garnet (Nd:YAG)
KTP greenlight laser

Question 24

denotes an anatomic dissection in the plane between the central and peripheral zones of the prostate
-feel the largest defect and perhaps longest durability

Answer 24

Holmium laser enucleattion of the prostate (HoLEP)