Benign prostate hypertrophy

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benign prostate hypertrophy,a case report, bph, urology

Transcript of Benign prostate hypertrophy

  • Benign Prostatic Hypertrophy

  • The ProstatePyramidal shaped, fibromuscular, and glandural organ.Walnut-sized gland, 3cm long.Located anterior to the rectum, distal to the urinary bladder.

  • Zones of Prostate

  • Definition and EpidemiologyBenign prostatic hypertrophy or hyperplasia (BPH) is a histologic diagnosis characterized by proliferation of the cellular elements of the prostate.Incidence>50% in men between 60-90 y.o30 million men worldwide have symptoms related to BPH.

  • PathophysiologyDevelopment of microscopic stromal nodules around periurethral glandsglandular hyperplasiagland increases in size and compresses the urethraurinary obstruction.Uncertain aetiologymultifactorial, hormonal (?).

  • InvestigationPhysical ExaminationBladder distensionSensory and motor deficitsRectal toucher : gland sizeUrinalysis, urine cultureProstate spesific antigenElectrolytes, BUN, and creatinineUltrasonography, transrectal ultrasonographyUroflowmetry

  • ManagementNon-surgical treatment-adrenergic blockersAntiandrogens acting selectively at prostatic cellular lebelIntermittent self-catheterizationBalloon dilatation and stenting of prostateSurgical treatmentProstatectomyTURP

  • Thank You.