BPH

Question 1

What are the symptoms you need to ask in BPH?

Answer 1

Infection:
Dysuria
Frequency
Nocturia
Overflow incontinence
Blood
Fever

BPH:
Weak stream
Hesitency
Dribbling

Question 2

Examination in BPH/cancer?

Answer 2

PR exam- BPH is enlarged smooth prostate

Percuss and palpate the bladder

Question 3

Investigations

Answer 3

Urodynamic studies (assesses how bladder and urethra are performing their function and storing/ releasing the urine)

Bedside:
Urine dip

Bloods:
PSA
Creatinine

Imaging:
US of kidneys and renal tract
Transrectal / abdo US

Question 4

What are the treatment options used to treat BPH?

Answer 4

Tamsulosin
Prazosin
Finasteride

Surgical: TURP

Question 5

Features of prostate cancer?

Answer 5

Symptoms:
BPH symptoms (bladder outflow obstruction)
Systematic: malaise, weightloss)
Bone pain mets
Renal failure

Investigation:
Biopsy
Bone scan to detect mets

Treatment:
Antiandrogen therapy
Radiotherapy
TURP