Hiperplasia prostática benigna Flashcards

1
Q

Frequencia

A

10% - 30 a

90% - 90a

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2
Q

DHT estimula o crescimento da zona …

A

Transicional (periuretral)

> Hiperestimulação simpática

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3
Q

Quadro clínico

A
Obstrutivo 
- esforço
- jato fraco
- esvaziamento incompleto ....
Irritativo 
- Nocturia
- polaciuruia
- urgencia
- disuria
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4
Q

PSA - limite normal

A

PSA< 4

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5
Q

Complicaçoes

A
IRA pos renal hidronefrose
REtenção urinaria aguda
Diverticulos vesicais
Hematuria 
Calcula vesical
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6
Q

Tratamento clinico

A

Alfa bloq. e inibitor alfa 5 redutase
(Tansulosina ) e (Finasterida)

Sintomas de armazenamento : Beta-3 agonista

Disfunção eretil : Inibidor da 5PD (Tandanafil)

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7
Q

Tratamento cirurgico

A

Falha tto clinico
sintomas exuberantes
complicaçóes

RTU (Prostatas pqnas < 80g)
Prostatectomia (prostats grandes >80g)

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