BPH Flashcards
define BPH?
slowly progressive nodular hyperplasia of the periurethral zone of the prostate gland
epidemiology of BPH?
common in elderly men
black> white > Asian
what are the catagories of symptom associated with BPH?
• Voiding Symptoms
• Storage Symptoms
• Post micturition symptoms
•
what are voiding symptoms?
o Hesitancy
o Poor or intermittent stream
o Terminal dribbling
what are storage symptoms?
o Frequency
o Urgency
o Urge incontinence
o Nocturia
what are post micturition symptoms?
o Dribbling
how does acute retention present?
o Sudden inability to pass urine
o Associated with SEVERE PAIN
how does chronic retention present?
o Painless
o Frequency
o Nocturia is a major feature
best examination for BPH?
DRE
smooth and enlarged prostate
what will acute retention look like compared to chronic retention?
- both will be large distended bladders
- acute retention will be painful
what is important in the bloods?
o U&Es - check for impaired renal function
o PSA – for prostate cancer
what imaging can be used?
o Transrectal Ultrasound Scan (TRUS)
o Flexible Cystoscopy
what is the management plan for Acute urinary retention ?
o Catheterisation
what is the management plan for chronic urinary retention ?
o Intermittent self-catheterisation
o Long term catheterisation
what medical treatment can be used for BPH?
o 1. Selective a-antagonist (e.g. tamsulosin)
o 2. 5a reductase inhibitors (e.g. finasteride)
