urology 3

Question 1

what is the most common benign tumor

Answer 1

Benign prostate hyperplasia

Question 2

AUA symptom score

Answer 2

way to quantify bhp symptoms

this helps cause diagnosis is usually on hx

Question 3

physical exam for bph

Answer 3

DRE (size and consistency; if induration (bump) felt then needs a further work up for cancer)
neurological exam (sphincter tone; reflexes)
labs:
ua (look for uti)
creatinine
psa

Question 4

how to differentiate bph from cancer

Answer 4

dre

psa

Question 5

indications to do surgery and not medical mngmt for bph

Answer 5

Urinary retention, large bladder diverticuli, recurrent uti, gross hematuria, bladder stones or chronic kidney disease

Question 6

bph mngmt

Answer 6

Alpha-1 adrenergic antagonists (alpha-blockers)- symptomatic tx
5-alpha-reductase inhibitors (reduces prostate size)
Antimuscarinics (anticholinergic)- symptomatic tx works on detrussur muscle
Phytotherapy
sal palmetto- can cause false negative w/ spa

Question 7

guidline for bph tx

Answer 7

1st line: if sxs mild (AUA score 7: alpha blocker if pt is also hypertensive; use 5 alpha reductase inhibitor if prostate >40 g
3rd line: combo thearpy