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26 Cards in this Set
- Front
- Back
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Define prostatic hyperplasia |
An increase in the size of the prostate gland that results in the disruption of urine outflow through the urethra |
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What is LUTS |
Is lower urinary tract symptoms that are associated with BPH symptoms include difficulty urinating. decreased flow of urine |
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What cause BPH |
Hormonal changes associated with aging stimulates prostate growth specifically Dihydroxytestorne DHT and a increased proportion of estrogen. |
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How does Estrogen affect DHT |
Estrogen increases the activity of DHT |
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We’re does BPH usually develop |
BPH usually develops in the inner part of the prostate |
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What are the risk factors of BPH |
Aging,obesity,sedentary lifestyle,alcohol, erectile dysfunction, smoking and diabetes |
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What are the irritative symptoms of BPH. What are they associated with |
Nocturia, urinary frequency, urgency, dysuria, bladder plan, incontinence.
The symptoms are associated with inflammation and infection, |
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What is the first symptom of BPH patient notice. |
Nocturia |
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What are the obstructive symptoms |
Decrease in caliber and force of urine stream. Difficulty with starting stream.dribbling. |
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Complications of BPH |
Acute urinary retention inability to urinate. UTI Sepsis Bladder Stones Hydronephrosis aka distension of the pelvis causing renal failure.
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How do you diagnose BPH |
Health history Digital rectal exam Urinalysis Prostate specific antigen |
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When is a transrectal ultrasound utilized. |
TRUS are ordered when a patient has and abnormal digital rectal exam with elevated prostate specific antigen |
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What is the significance of the TRUS exam |
This is exam provides and accurate assessment of the prostate size the test will differentiate BPH from prostate cancer |
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Explain uroflowmetry |
Study that measures the volume of urine expelled from the bladder |
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Cystoscopy explain it |
A procedure that allows internal visualizations of the urethra and bladder |
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When is the wait and see approach utilized with BPH patients |
When the patient has mild symptoms according to AUA scale 0-7 is mild |
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What class of drugs treat BPH |
Reductase inhibitors and Adrenergic Receptor blockers |
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What is the roll of Reductase inhibitors Finasteride |
They reduce the size of prostate gland by blocking the enzyme responsible for the production of DHT And also decreases likelyhood of prostate cancer |
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What is the function of Adrenergic Receptor blockers. Sin drugs Does this class decrease the size of the prostate? |
Deal with hypertension but cause smooth muscle relaxation in the prostate this allows better urine flow.
No fam |
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TUMT procedure
Who should not have TUMUT procedure |
Procedure bakes the prostate to clear the obstruction.
People with anal problems. |
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What is the difference between the transurethral needle ablation. And TMUT |
Tuna send low wave radiofrequency is used to heat The tissue. Is more precise At targeting prostate tissue. |
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Vlap procedure |
Uses laser beam causing deep coagulation necrosis. |
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Photo vaporization procedure |
Use green laser to vaporize prostate tissue. Immediate improvement of symptoms |
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Interstitial laser coagulation |
Treats precise area of enlarged prostate |
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Transurethral Resection
TURP |
Resectoscope goes in urethra to remove prostate tissue considers gold standard but longer hospitalization |
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What cause TUR syndrome |
Hyponatremia due to long operation Tim in TURP procedure |
