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Benign prostatic hyperplasia: Difference between revisions

Benign prostatic hyperplasia (view source)

Revision as of 10:32, 11 October 2024

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(Created page with "'''Benign prostatic hyperplasia''' (BPH) is an idiopathic but common benign condition which affects older men. The prevalence increases with age and it affects 70% of males > 60 years. It is characterised by a slowly growing prostate which compresses the urethra and causes chronic lower urinary tract obstruction, causing lower urinary tract symptoms (LUTS). It can be managed with medicines or surgical removal. == Etiology == * Multifactorial * Sensitization of...")
 
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* Transurethral resection of the prostate (TUR-P)
* Transurethral resection of the prostate (TUR-P)
** Gold standard for BPH
** Gold standard for BPH
** Done under spinal/general anaesthesia
** Only if the prostate is not very large (< 80 g)
** Only if the prostate is not very large (< 80 g)
** A cautery resectoscope is led through the urethral opening and into the area of the prostate
{{#lst:Cystoscopy|TUR}}
*** The resectoscope has a camera like a cystoscope but is thicker, and has a metallic loop on the end
 
*** The metallic loop is a monopolar cautery, which is used to resect the prostate from the inside of the urethra
** The prostate capsule is not removed
** The remaining cavity will be epithelialized after a few months
** TUR syndrome is a possible complication
* Simple prostatectomy
* Simple prostatectomy
** For large prostates (> 80g)
** For large prostates (> 80g)
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** Thermal ablation
** Thermal ablation
* Radical prostatectomy is NOT used for BPH, only prostate cancer!
* Radical prostatectomy is NOT used for BPH, only prostate cancer!
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