BPH

Question 1

who does benign prostatic hyperplasia affect?

Answer 1

30% of men over 50 years of age

usually occurs over 60 years of age

Question 2

what is it?

Answer 2

hyperplasia of the glandular and connective tissue

Question 3

symptoms

Answer 3

increased urination frequency
nocturia
delay in initation
incontinence 
retention
UTI
haematuria
urgency

Question 4

sign

Answer 4

enlarged prostate

Question 5

diagnosis?

Answer 5

USS 
to exclude obstruction
Serum PSA
to exclude prostate cancer
PR exam

Question 6

treatment?

Answer 6

avoid coffee and alcohol
tamulosin
finasteride
long term catheter

Question 7

which group are at increased risk?

Answer 7

men of male -African origin

Question 8

RF?

Answer 8

Diabetes

hypertension

Question 9

differentials

Answer 9

uti
prostate cancer
UT stones

Question 10

surgical methods

Answer 10

trans urethral resection/incision of prostate

Question 11

what can be found on PR exam?

Answer 11

flattened medial sulcus

enlarged by 2x finger width

Question 12

what could a palpable bladder indicate?

Answer 12

neurogenic bladder

Question 13

list some complication?

Answer 13

UTI
obstruction
impaired kidney function
bladder caliculi

Question 14

which drugs can precipitate urinary retention?

Answer 14

anticholingeric drugs
opoids
diuretics