BPH

Question 1

What medical treatment can be used to treat BPH

Answer 1

-a1 blocker (tamsulosin)
this allows relaxation of spintures
-5a reductase inhibitor (finasteride)
reduce production of testosterone

Question 2

What is the microscopic definition of BPH

Answer 2

-proliferation of the stomal and epithelium of prostate leading to hyperplasia of fibromuscular and glandular

Question 3

What are the obstructive (voiding) LUTS

Answer 3

WHID
-weak stream
-hesitancy
-intermittency
-drippling

Question 4

What are the irritation (storage) LUTS

Answer 4

-frequency
-urgency
-nocturia

Question 5

What is the complication of BPH

Answer 5

-hydroneprosis
-cystitis
-pyelonephritis
-stones

Question 6

What is the mild IPSS score

Answer 6

0-7

Question 7

What is the moderate IPSS score

Answer 7

8-19

Question 8

What is the severe IPSS score

Answer 8

20-35

Question 9

What is the mild treatment of BHP

Answer 9

-watchful waiting

Question 10

What is the moderate/severe treatment of BHP

Answer 10

-medical treatment
-instrument (TURP)
-open surgery

Question 11

What is the medical treatment of BPH

Answer 11

-a1 blocker (tamsulosin, prasozin, doxasozin, terasozin)
-5a reductase (finasteride)

Question 12

What is the indication of TURP

Answer 12

GBRI
-recurrent gross hematuria
-bladder stone
-renal impairments
-recurrent infection

Question 13

What is the main complication of TURP

Answer 13

-retrograde ejaculation

Question 14

What is the indication of open surgery

Answer 14

-large prostate >75g