Author Topic: Benign Prostatic Hyperplasia (Read 498 times)

Lorenzo · « **on:** February 29, 2012, 07:37:14 AM »

BPH

Presents in 80% of men over aged 80 y/o
Diagnosis based on the following sensation of incomplete voiding, increased urinary frequency, strained to void, intermittent or weak urine stream, nocturia (at least 2-4 times a night)

Palpable prostate size may not correlate with degree of obstruction or symptom severity
Obtain chem 7, PSA, UA

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Lorenzo · « **Reply #1 on:** February 29, 2012, 07:40:03 AM »

Medical Intervention:

1. Nonselective a-blockers : doxazosin, prazosin, terazosin
MOA: decrease prostate smooth muscle tone --> immediate improvement in urine flow
SE: dizziness, postural hypotension, fatigue, asthenia

2. Tamsulosin

3. 5a reductase inhibitors: finasteride, dutasteride
MOA: slowly reduces dihydrotestosterone levels --> 20% decrease in prostate volume over 3-6 months

Linkback: https://tubagbohol.mikeligalig.com/index.php?topic=47863.0

Lorenzo · « **Reply #2 on:** February 29, 2012, 07:42:47 AM »

Surgical Intervention:

Indication for surgery : failure of medical therapy, refractory urinary retention, inability to express urine without a catheter, recurrent infection, persistent hematuria, bladder stones , or renal insufficiency

1. TURP -- Transurethral resection of the prostate --> symptomatic improvement in 88% of cases

2. Open prostatectomy --> symptomatic improvement in 98% of cases

Linkback: https://tubagbohol.mikeligalig.com/index.php?topic=47863.0

Lorenzo · « **Reply #3 on:** February 29, 2012, 07:43:54 AM »

Remember, men , those of you who are middle aged (45-60), make sure to get prostate exam as well as colon exams to scan for any problems involving the prostate and colon. Prevention is always better than treating !

Best,
Dr. Lorenzo

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MikeLigalig.com

Author Topic: Benign Prostatic Hyperplasia (Read 498 times)

Lorenzo

Benign Prostatic Hyperplasia

Lorenzo

Re: Benign Prostatic Hyperplasia

Lorenzo

Re: Benign Prostatic Hyperplasia

Lorenzo

Re: Benign Prostatic Hyperplasia