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Benign Prostatic Hyperplasia

2 min read

Benign Prostatic Hyperplasia

CASE SCENARIO

A 60-year-old gentleman who is retired from the military services presents to the clinic with a history of hesitancy, urgency, and increased urination for the past few months. The symptoms have increased over the past few weeks.

He states that occasionally, he wets his underwear if he cannot reach a toilet immediately. He is not known to have any problems in the past.

Questions

  1. What are the differential diagnoses of lower urinary tract symptoms?
  2. What points should be discussed in taking history?
  3. What clinical examinations should be performed for this patient?
  4. What laboratory tests should be performed for this patient?
  5. What treatment modalities are available for this patient?

OBJECTIVES

  1. Discuss the differential diagnosis of lower urinary tract symptoms (LUTS).
  2. Identify the etiopathophysiological factors and prevalence of BPH.
  3. Recognize important points to be included in taking the history of a suspected case of BPH.
  4. Discuss the clinical examination to be performed in a case of suspected BPH.
  5. Discuss the laboratory tests to be performed in a case of suspected BPH.
  6. Recognize the treatment modalities for a suspected case of BPH.

PREVALENCE

  • A prostate volume > 30 mL and a moderate or high American Urological Association Symptom Score are taken into consideration for BPH prevalence.
  • In men aged 55 to 74 without prostate cancer, the prevalence is 19%. Z
  • Based on autopsy studies, the prevalence of BPH increases:
    1. From 8% in men aged 31 to 40 years
    2. To 40 to 50% in men aged 51 to 60 years Z
    3. And to > 80% in men > 80 years.

Graph View