BPH and Prostatitis

Question 1

What is prostatitis usually caused by?

Answer 1

S. faecalis
E. coli
Chlamydia

Question 2

What are the features of prostatitis?

Answer 2

UTI
Retention
Pain
Haematuria
Haematospermia
Swollen/boggy prostate

Question 3

What do you use to treat prostatitis?

Answer 3

Levofloxacin 500mg/24h

Question 4

What is the pathophysiology of BPH?

Answer 4

Nodular or diffuse proliferation of the musculofibrous/glandular layers of the prostate.
Expansion of the transitional zone of the prostate

Question 5

What are the features of BPH?

Answer 5

Nocturia
Frequency
Urgency
Post micturition dribbling
Poor stream
Overflow incontinence
Haematuria

Question 6

What are the investigations for BPH?

Answer 6

PR exam
MSU
U&E
PSA
USS
Transrectal US and biopsy

Question 7

What is the non pharmacological management of BPH?

Answer 7

Avoid caffeine and alcohol
Distraction techniques while voiding
Void twice consecutively to ensure no post residual voulme

Question 8

What is the pharmacological management of BPH?

Answer 8

Alpha blockers: tamsulosin 400microg/day

5a reductase inhibitor: finasteride 5mg/day

Question 9

What is the surgical management of BPH?

Answer 9

Transurethral resection of prostate
Transurethral incision of prostate
Retropubic prostatectomy