it's not prostate cancer

Question 1

risk factors for BPH

Answer 1

family history
obesity
T2DM
erectile dysfunction

Question 2

what causes BPH?

Answer 2

increase in epithelial and stromal cells in periurethral area of prostate due to increase in cell number or decrease of apoptosis

Question 3

which medications may worsen BPH?

Answer 3

anticholinergics and CCBs

Question 4

symptoms of BPH

Answer 4

evidence of urethral compression

Question 5

signs of BPH

Answer 5

increased serum PSA

Question 6

what is a normal level for serum PSA?

Answer 6

4mg/mL

Question 7

complications of BPH

Answer 7

UTIs
bladder stones
chronic renal problems
urinary retention 
interactive obstructive uropathy

Question 8

adverse effect of alpha blockers

Answer 8

postural hypotension

Question 9

diagnosis of BPH

Answer 9

serum PSA blood test
cystoscopy
ultrasound biopsy with histology

Question 10

indications for surgery in BPH

Answer 10

RUSHES
Retention
UTIs
Stones
Haematuria
Elevated creatinine
Symptom deterioration

Question 11

treatment of BPH

Answer 11

surgery (TURP - trans-urethral resection of prostate)

alpha blockers

Question 12

adverse effect of tamsulosin

Answer 12

pt won’t be able to get pregnant due to retrograde ejaculation

Question 13

normal urine flow rate for men <40

Answer 13

> 21ml/s

Question 14

normal urine flow rate for men 40-60

Answer 14

> 18ml/s

Question 15

normal urine flow rate for men >60

Answer 15

> 13ml/s