Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Download
Standard view
Full view
of .
Look up keyword
Like this
15Activity
0 of .
Results for:
No results containing your search query
P. 1
Benign Prostatic Hyperplasia

Benign Prostatic Hyperplasia

Ratings:

5.0

(1)
|Views: 1,076|Likes:
Published by terry!

More info:

Published by: terry! on Jan 15, 2009
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as PDF or read online from Scribd
See more
See less

11/15/2012

 
BENIGN PROSTATIC HYPERPLASIA
Benign enlargement of prostate commonly occurring in men over 50 yrs.50% men over 60 yrs have BPH
PATHOLOGY:
Commonest lobe to be involved is either the median lobe &/ or the posterior lobeEnlarged median lobe projets into the bladder base whereas the lateral lobes causenarrowing of the urethraThe urethra above the verumontanum gets elongated and narrowedEnlarged prostate presses on the prostatic venous plexus, may cause bleeding, - decoyprostateInitially bladder takes up the pressure burden- trabaculatiions, muscle hypertrophy,diverticulaLater hydroureter and hydronephrosisSecondary asceding infection can cause acute or chronic pyelonephritis, renal failureRarely, impotence.
PATHOGENESIS:
Testosterone by autocrine and paracrine action is responsible for BPH.Estrogen sensitizes the cells to the action of testosterone.
 
 CF:
LUTS(LOWER URINARY TRACT SYMPTOMS):A.
 
VOIDING:‘hesitancy DIPS”HESITANCYDRIBBLINGINTERMITTENT(starts and stops)POOR STEAMSENSE OF INCOMPLETE EVACUATION.B.
 
STORAGE:FunFREQUENCYURGENCYURGE INCONTINENCENOCTURIANOCTURNAL ENURESISDUE TO uti- FEVER, CHILLS n RIGORS.Tenderness in the suprapubic area with tender palpable kidney due to chronic retention,hydronephrotic kidney may be palpable.HematuriaPR – enlarged prostate.
INVESTIGATION:
1.
 
transrectal USG2.
 
PSA n ACIPD PHOSPHATASE3.
 
urine- microscopy, C/S4.
 
USG abdomen- residual urine in the bladder5.
 
cystoscopy6.
 
serum urea, creatinine7.
 
IVU.
TREATMENT:
A.
 
MEDICAL LINE1.
 
α
BLOCKERS:TAMSULOSIN( alpha 1a selective inhibitor): 0.2 to 0.5 mg ODInhibits smooth muscle contraction of the prostate.2.
 
5
α
REDUCTASE INHIBITORS:FINASTERIDE: 5mg ODInhibits conversion of testosterone into dihydrotestosterone.B.
 
SURGERY:INDICATIONS:1.
 
Elective prostatectomy for severe symptoms

Activity (15)

You've already reviewed this. Edit your review.
1 hundred reads
1 thousand reads
Alexander Adams liked this
sahirbule liked this
Sherry liked this
BabyKharma Love liked this
Faith Q. Espina liked this

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->