BENIGNA PROSTAT HIPERPLASIA PDF

Benign prostatic hyperplasia BPH or benign prostatic enlargement BPE is an extremely common condition in elderly men and is a major cause of bladder outflow obstruction. Although the term prostatomegaly is often used interchangeably with BPH, strictly speaking prostatomegaly may refer to any cause of prostatic enlargement. As such it is often thought of essentially as a 'normal' part of aging 1. Although a degree of prostatomegaly may be completely asymptomatic, the most common presentation is with lower urinary tract symptoms LUTS including :. An enlarged prostate may also be incidentally found on imaging of the pelvis or on digital rectal exam. Benign prostatic hyperplasia is due to a combination of stromal and glandular hyperplasia, predominantly of the transition zone as opposed to prostate cancer which typically originates in the peripheral zone.

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Benign prostatic hyperplasia BPH or benign prostatic enlargement BPE is an extremely common condition in elderly men and is a major cause of bladder outflow obstruction.

Although the term prostatomegaly is often used interchangeably with BPH, strictly speaking prostatomegaly may refer to any cause of prostatic enlargement. As such it is often thought of essentially as a 'normal' part of aging 1. Although a degree of prostatomegaly may be completely asymptomatic, the most common presentation is with lower urinary tract symptoms LUTS including :. An enlarged prostate may also be incidentally found on imaging of the pelvis or on digital rectal exam.

Benign prostatic hyperplasia is due to a combination of stromal and glandular hyperplasia, predominantly of the transition zone as opposed to prostate cancer which typically originates in the peripheral zone. Androgens DHT and testosterone are necessary for the development of BPH, but are not the direct cause for the hyperplasia. Chronic bladder outlet obstruction can lead to detrusor hypertrophy, trabeculation and formation of bladder diverticula.

Not typically used to assess the prostate, BPH is more frequently an incidental finding. Medical management for early disease typically commences with an alpha-blocker such as tamsulosin given in combination with a 5-alpha reductase inhibitor such as dutasteride.

Surgical management for symptomatic patients is typically achieved with a transurethral resection of the prostate TURP , and careful patient selection is important given the high prevalence of both BPH and lower urinary tract symptoms LUTS in this population. A prostatic urethral lift may be used as intermediate therapy before medication or more invasive TURP Intermittent self-catheterization is an option for those unsuitable for surgery.

Urodynamic studies and prostate size estimation are often used to guide therapy, although prostate size in isolation is a poor predictor of symptom severity 4.

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Please use another browser until we can get it fixed. On this page:. Primer of diagnostic imaging. Mosby Inc. Read it at Google Books - Find it at Amazon. Related Radiopaedia articles Prostate pathology prostate gland prostate tumors prostate adenocarcinoma prostate biopsy imaging in prostate adenocarcinoma extracapsular extension prostate peripheral zone T2 hypointensity dynamic contrast enhancement MR spectroscopy prostate adenocarcinoma staging Gleason score PI-RADS prostate sarcoma infections of the prostate prostatitis acute bacterial prostatitis chronic prostatitis chronic bacterial prostatitis chronic prostatitis and chronic pelvic pain syndrome CPPS asymptomatic inflammatory prostatitis granulomatous prostatitis prostatic tuberculosis emphysematous prostatitis prostatic abscess benign prostatic hypertrophy cystic lesions of the prostate prostatic utricle cyst prostatic cystadenoma prostatic calcification prostatic infarction.

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Prostate Enlargement (Benign Prostatic Hyperplasia)

Benign prostatic hyperplasia and lower urinary tract symptoms. N Engl J Med [Internet]. Simon HB. Prostate enlargement: Benign prostatic hyperplasia.

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Benign prostatic hyperplasia

BPH often requires therapy when patients begin to experience lower urinary tract symptoms that affect quality of life. Current management strategies involve lifestyle modifications, pharmacotherapy, phytotherapy, and surgical interventions as indicated. Pharmacists are in the unique position of being accessible sources of healthcare information for the BPH patient population. Understanding the symptoms of this disorder and therapy options will be beneficial for pharmacists who have increased chances to answer BPH-related questions from their patients. Benign prostatic hyperplasia BPH is a common disorder that presents in men and increases in incidence with age.

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