BPH Flashcards

1
Q

What is BPH?

A

Benign prostatic hyperplasia

Non-cancerous hyperplasia of the glandular-epithelial and stromal tissue of the prostate

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2
Q

Which part of the prostate does BPH affect?

A

Transitional zone

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3
Q

Clinical features of BPH

A

LUTS

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4
Q

Investigations for suspected BPH

A

DRE - feel enlarged prostate
- normal = walnut sized

Bloods

  • PSA
  • Creatinine (check kidneys)

Urine
- UTI

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5
Q

Conservative management of BPH

A
Educate
Reassure
Reduce/change fluid intake
Bladder retraining
Treat constipation
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6
Q

Medical management of BPH

A

Alpha blocker
- relax smooth muscle

5 a-reductase blocker

  • prevent conversion of testosterone to DHT
  • decrease in prostatic volume
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7
Q

Surgical management of BPH

A

TURP = trans urethral resection of prostate

- removal of obstructive prostate tissue

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