HBP Flashcards

1
Q

TR

A
Prostate
Lisse
Reguliere
Souple
Ferme et elastique
Indolore
Effacement du sillon median
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2
Q

IPSS

A

Retentissement qualité de vie
0-7 peu sympto
8-19 moderement sympto
20-35 tres sympto

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3
Q

4 examens complementaires

A

ECBU
Echo RVP
Debimetrie mictionnelle
PSA

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4
Q

Que rechercher à l’écho?

A
Retentissement 
-RPM
-Vessie de lutte
-Calcul vesicaux
-Presence d'un lobe median
-Dilatation CPC
Volume prostate
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5
Q

Retentissement vesical (7)?

A
RPM
distension vessie
Vessie de lutte
Lithiase
GV --- RAU
Miction par regorgement
Nycturie
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6
Q

Traitement (3)?

A
  • RTUP ( < 60g )
  • Adenomectomie ( > 60g )
  • Incision cervico-prostatique ( < 30g / recidive )
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7
Q

Traitement medical ( non compliqué)

A
  • Alpha bloquant (xatral)
    hto/ ejac retrograde / cephalées
  • Inhibiteur de la 5alpha reductase (chibroproscar)
    Impuissance / diminution libido / gynecomastie / dyserction / tb ejac
  • Phytotherapie
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