For men with mild symptoms, watchful waiting with annual reassessment is appropriate. Over the past decade, numerous medical and surgical interventions have been shown to be effective in relieving symptoms of benign prostatic hyperplasia. Alpha blockers improve symptoms relatively quickly.
When is surgery indicated in the treatment of benign prostatic hyperplasia (BPH)?
Apr 01, 2020 · Which of the following would be an appropriate treatment for a patient with mild BPH? Question options: a) Refer to a urologist for surgery. b) Prescribe a trial of tamsulosin. c) Recommend cranberry supplements. d) Reevaluate symptoms in 1 to 3 months. Question 3 2 / 2 points. The result of the patient’s 24-hour urine for protein was 4.2 g/day.
When should 5 alpha reductase inhibitors be used in the treatment of BPH?
Aug 02, 2020 · d) Benign prostatic hypertrophy. Question 43 0 / 2 points. A patient with testicular cancer is being followed after completing treatment 1 year ago. He has been symptom-free with no evidence of disease. How often should he have a CT scan? Question options: a) Every month. b) Every 3 to 4 months. c) Every 6 to 12 months. d) Every year. Question ...
What does BPH stand for in medical terms?
Nov 22, 2020 · Which of the following would be an appropriate treatment for a patient with mild BPH? A: reevaluate symptoms in 1-3 months Stuvia.com - The Marketplace to Buy and Sell your Study Material A : reevaluate symptoms in 1 - 3 months
Which tests are performed in the workup of benign prostatic hyperplasia (BPH)?
*****5. Which of the following would be an appropriate treatment for a patient with mild BPH? a. Refer to a urologist for surgery. b. Prescribe a trial of tamsulosin. c. Recommend cranberry supplements. d. Reevaluate symptoms in 1 to 3 months.
What is first-line treatment for BPH?
Alpha blockers are recommended as first-line treatment for BPH, except for prazosin (Minipress) and phenoxybenzamine (Dibenzyline), which lack data to support their use and, therefore, are not recommended. The 5-alpha reductase inhibitors are only recommended in men with documented prostate enlargement.Mar 1, 2008
Which of the following are used to treat BPH?
The three classes of drugs for an enlarged prostate are: Alpha blockers, which relax muscles of the prostate and neck of the bladder to relieve symptoms. Examples of alpha blocker medications include: alfuzosin (Uroxatral), doxazosin (Cardura), tamsulosin (Flomax), and terazosin (Hytrin).Dec 15, 2020
How is a mild prostate treated?
You can take alpha-blockers such as terazosin (Hytrin) or tamsulosin (Flomax) to help relax the prostate and bladder muscles. You can also take dutasteride (Avodart) or finasteride (Proscar), a different kind of medication for reducing BPH symptoms. These block the hormones that cause the prostate to grow.
What is mild BPH?
Overview. Benign prostatic hyperplasia (BPH) — also called prostate gland enlargement — is a common condition as men get older. An enlarged prostate gland can cause uncomfortable urinary symptoms, such as blocking the flow of urine out of the bladder. It can also cause bladder, urinary tract or kidney problems.Apr 13, 2021
Can BPH be treated with medication?
Some medicines ease these symptoms by calming the muscles in the bladder and prostate. Others stop prostate growth and shrink the size of the prostate. Medicine is now the most common way to treat men with mild to moderate BPH. Researchers are still learning about long-term effects and when drugs can be most helpful.Nov 18, 2020
What is the best procedure for enlarged prostate?
TURP is generally considered an option for men who have moderate to severe urinary problems that haven't responded to medication. While TURP has been considered the most effective treatment for an enlarged prostate, a number of other, minimally invasive procedures are becoming more effective.Jan 4, 2022
Which alpha blocker is best for BPH?
Many consider alfuzosin 10 mg to be the superior alpha blocker currently available for treating BPH because it achieves clinically significant improvements in LUTS and has no significant effects on dizziness, asthenia, and ejaculatory dysfunction.
How is BPH surgery done?
Prostate laser surgery is used to relieve moderate to severe urinary symptoms caused by an enlarged prostate — a condition known as benign prostatic hyperplasia (BPH). During prostate laser surgery, your doctor inserts a scope through the tip of your penis into the tube that carries urine from your bladder (urethra).Oct 1, 2021
How do you diagnose BPH?
Other tests such as urine flow study, digital rectal exam, prostate-specific antigen (PSA) blood test, cystoscopy, ultrasound or prostate MRI may be used to confirm the diagnosis. Treatment for BPH may depend on the severity of the symptoms and range from no treatment to medication or surgery.
How can you prevent BPH?
Make sure to work up a sweat. Exercise on a regular basis to prevent BPH or reduce the growth of it, is to exercise regularly. Try to exercise at least 30-minutes per day. In a famous Harvard study, regular physical activity was even associated with a lower risk of getting surgery for BPH!Aug 23, 2017
What causes BPH?
The actual cause of prostate enlargement is unknown. Factors linked to aging and changes in the cells of the testicles may have a role in the growth of the gland, as well as testosterone levels. Men who have had their testicles removed at a young age (for example, as a result of testicular cancer) do not develop BPH.Jul 26, 2021
How common is BPH in men?
Prevalence. On average, 50% of men over 60 and 80% of men over 80 have symptoms caused by BPH. Symptomatic BPH is therefore regarded as one of the most common disorders in men and, because it is widespread, one that has significant socioeconomic impact. For every patient with BPH a urinalysis should also be performed.
What is the best treatment for urinary retention?
Alpha-blockers + 5-alpha-reductase inhibitors. Alpha-blockers + 5-alpha-reductase inhibitors can further increase improvement in lower urinary tract symptoms and Qmax, so long as increased rates of adverse effects are accepted, and can also reduce the risk of acute urinary retention and the need for surgery.
Is PSA a predictor of prostate growth?
PSA level, unless influenced by other pathologic processes, correlates with prostate volume (20) and is a strong predictor of prostate growth (21). In addition, baseline PSA is a predictor of risk of urinary retention and surgical risk (16, 17). However, there is no known direct association between BPH and prostate cancer (22), ...
Does PDE5 cause smooth muscle tone?
Ongoing monitoring of symptoms. Using relaxation exercises and distraction techniques. PDE5 inhibitors also lead to reduced prostat e smooth muscle tone, in that diminished breakdown of cGMP enhances smooth muscle cell relaxation in the prostate, urethra, and detrusor muscle.
Is BPH associated with prostate cancer?
However, there is no known direct association between BPH and prostate cancer (22), and patients with BPH should be advised about the advantages and disadvantages of prostate cancer screening (23). High residual urine volumes.
What is the prevalence of BPH in men?
The prevalence of BPH increases with age. One study suggests that the prevalence is 20 percent in 40-year-old men and increases to 90 percent in men in their seventies. 2 The most common lower urinary tract symptoms are hesitancy, weak stream, nocturia, and incontinence.
What are the symptoms of benign prostatic hyperplasia?
Typical presenting symptoms include urinary hesitancy, weak stream, nocturia, incontinence, and recurrent urinary tract infections. Acute urinary retention, which requires urgent bladder catheterization, is relatively uncommon. Irreversible renal damage is rare. The initial evaluation should assess the frequency and severity of symptoms and the impact of symptoms on the patient's quality of life. The American Urological Association Symptom Index is a validated instrument for the objective assessment of symptom severity. The initial evaluation should also include a digital rectal examination and urinalysis. Men with hematuria should be evaluated for bladder cancer. A palpable nodule or induration of the prostate requires referral for assessment to rule out prostate cancer. For men with mild symptoms, watchful waiting with annual reassessment is appropriate. Over the past decade, numerous medical and surgical interventions have been shown to be effective in relieving symptoms of benign prostatic hyperplasia. Alpha blockers improve symptoms relatively quickly. Although 5-alpha reductase inhibitors have a slower onset of action, they may decrease prostate size and alter the disease course. Limited evidence shows that the herbal agents saw palmetto extract, rye grass pollen extract, and pygeum relieve symptoms. Transurethral resection of the prostate often provides permanent relief. Newer laser-based surgical techniques have comparable effectiveness to transurethral resection up to two years after surgery with lower perioperative morbidity. Various outpatient surgical techniques are associated with reduced morbidity, but symptom relief may be less durable.
How to stimulate prostate growth?
Prostate growth is stimulated by androgenic hormones, especially dihydrotestoster-one. 1 Finasteride and dutasteride (Avodart) inhibit the conversion of testosterone to dihydrotestosterone, suppressing prostate growth. 13 These agents appear to be most beneficial when the prostate volume is 40 mL or greater. 8 The 5-alpha reductase inhibitors do not provide immediate symptom relief, and approximately six months of therapy is required to achieve clinical benefit. 10 Unlike alpha blockers, 5-alpha reductase inhibitors have been shown to affect the clinical course of BPH, reducing the risk of acute urinary retention (NNT = 26) and surgical intervention (NNT = 18) four years after therapy. 14 Adverse effects of finasteride include decreased libido, ejaculatory dysfunction, and erectile dysfunction. 15
How effective are alpha blockers?
Over the past decade, numerous medical and surgical interventions have been shown to be effective in relieving symptoms of benign prostatic hyperplasia. Alpha blockers improve symptoms relatively quickly.
Is urine cytology recommended for men?
Urine cytology should be obtained in men at risk of bladder cancer (e.g., those with a history of tobacco use, irritative bladder symptoms, or hematuria). Routine measurement of serum creatinine levels is not recommended because BPH does not appear to affect the baseline risk of renal disease. 6.
Does BPH cause hematuria?
Some patients with BPH present with hematuria. Because the severity of symptoms does not correlate with the degree of hyperplasia, and other conditions can cause similar symptoms, the clinical syndrome that often accompanies BPH has been described as lower urinary tract symptoms.