BPH Flashcards
What does BPH stand for?
Benign prostatic hyperplasia
What are the symptoms of BPH?
Urinary frequency Nocturia Urgency Poor flow Incomplete voiding
What is a differential for BPH?
Bladder stricture
Obstruction
Diabetes Mellitus
Which symptoms point towards the eventual need for surgery?
Poor flow
Incomplete voiding
What should be asked specifically in the history?
Sexual dysfunction
Antidepressant drugs
What examination should be carried out?
DRE
Abdominal exam
Exclusion of caudal equina
Which investigations should be carried out in GP?
Urinalysis
PSA
When would urine cytology be performed?
If symptoms very irritating
To exclude carcinoma in situ
What is important to remember when taking PSA?
DRE will put it up so need to do PSA first.
PSA increases with age
What is uroflowmetry?
Checks pressure of flow of urine
What is a transrectal ultrasoundography for?
Guides prostatic biopsy needle
Prostatic volume
What value should PSA be?
around 4 nanograms
