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Benign Prostatic Hyperplasia
Benign Prostate Enlargement
Benign prostatic hyperplasia is defined as a common age-related, nonmalignant enlargement of the prostate gland.

Images

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WIKIDATA, CC BY-SA 4.0
WIKIDATA, CC BY-SA 4.0
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WIKIDATA, CC BY 2.0
WIKIDATA, CC BY-SA 3.0

Presentation

This study reports for the first time that post-coital gross hematuria is one of the clinical presentations of BPH, which can be successfully treated with 5alpha-reductase inhibitor. [ncbi.nlm.nih.gov]

Presentation An 80 year-old-man presented with urinary retention and hematuria. The PSA blood level was 8 ng/ml. Caption: Suprapubic ultrasound Description: Suprapubic ultrasound demonstrates an enlarged prostate. [sonoworld.com]

Entire Body System

  • Recurrent Urinary Tract Infection

    Chronic urologic conditions, including benign prostatic hyperplasia, recurrent urinary tract infections, and urinary incontinence, are common in older adults. [ncbi.nlm.nih.gov]

    Surgery should be reserved for patients who either have failed medical management or have complications from BPH, such as recurrent urinary tract infections, refractory urinary retention, bladder stones, or renal insufficiency as a result of obstructive [doi.org]

Neurologic

  • Sleep Disturbance

    disturbances, and they often already suffer from dry mouth, dry eye, and vision problems as well as GI motility problems including constipation. 30 Kay et al studied the differential effects oxybutynin ER versus the drug darifenacin on memory in older [ncbi.nlm.nih.gov]

Urogenital

  • Urinary Retention

    We herein report a 17-year-old boy who presented with acute urinary retention due to BPH and was treated with endoscopic transurethral resection of the prostate (TUR-P). [ncbi.nlm.nih.gov]

    Abstract Purpose: We determined the effect of long-term treatment with finasteride on the incidence of acute urinary retention (AUR) and benign prostatic hyperplasia (BPH) related surgery in men with BPH. [doi.org]

    The complications of benign prostatic hyperplasia may include acute urinary retention chronic, or long lasting, urinary retention blood in the urine urinary tract infections (UTIs) bladder damage kidney damage bladder stones Most men with benign prostatic [web.archive.org]

  • Enlargement of the Prostate

    […] benign enlargement of the prostate benign prostate enlargement BPH BEP BPE prostatic hyperplasia Benign Hyperplasia of Prostate Benign Hyperplasia of the Prostate Benign Prostatic Hypertrophy Benign Prostate Hyperplasia PROSTATIC HYPERPLASIA, BENIGN [wikidata.org]

    By age 60, half of all men have an enlarged prostate. By age 80, about 80 percent of all men have an enlarged prostate. The prostate forms part of the male reproductive system and helps produce semen. It is located at the base of the male bladder. [uwhealth.org]

    The risk of prostate cancer is no greater for men with an enlarged prostate than it is for men without an enlarged prostate. [nhs.uk]

    Description What is benign prostatic hyperplasia (enlarged prostate)? Benign prostatic hyperplasia (BPH) is a non-cancerous enlargement of the prostate, the gland that transports sperm during ejaculation. [bostonscientific.com]

  • Nocturia

    This indicates that Pygeum africanum resulted in a statistically significant moderate to large improvement in nocturia. [doi.org]

    The possibility that the monthly period of nocturia is a general phenomenon and is coupled to a monthly menstrual period, and the implications for more accurate diagnosis and new modes of therapy, are discussed. [ncbi.nlm.nih.gov]

  • Urinary Incontinence

    Chronic urologic conditions, including benign prostatic hyperplasia, recurrent urinary tract infections, and urinary incontinence, are common in older adults. [ncbi.nlm.nih.gov]

    […] or without urgency urinary incontinence). [doi.org]

    Surgery is sometimes required, but is associated with risks such as erectile dysfunction and urinary incontinence. [pharmaceutical-journal.com]

    Overactive bladder is a condition in which the bladder muscles contract uncontrollably and cause urinary frequency, urinary urgency, and urinary incontinence. Antimuscarinics are a class of medications that relax the bladder muscles. [web.archive.org]

  • Prostatic Disease

    An increase in immunoreactive CK-BB or CK-BB activity in patients with prostatic disease has been proposed as an indication of prostatic adenocarcinoma. [ncbi.nlm.nih.gov]

    Uroselectivity Revisited Subject Categories Medicine, Dentistry, Nursing & Allied Health Medicine Urology Prostatic Disease BISAC Subject Codes/Headings: MED088000 MEDICAL / Urology [routledge.com]

    Saw palmetto for benign prostatic hyperplasia. The New England journal of medicine. Feb 9 2006;354(6):557-566. Shinohara K. Thermal ablation of prostate diseases: advantages and limitations. [urology.ucsf.edu]

Workup

Primary care physicians are uniquely positioned to screen for BPH, conduct a timely diagnostic workup, and if indicated, initiate medical therapy. [mdedge.com]

EEG is required to distinguish myoclonic seizures from nonictal causes of myoclonus, which can arise from lesions of the cortex, brainstem, spinal cord, or even peripheral nerve (see Workup). [emedicine.medscape.com]

In addition, peak urinary flow, voided volume, and symptoms may worsen over time in men with untreated BPH (see Workup ). The risk of AUR and the need for corrective surgery increases with age. [emedicine.com]

Cystoscopy

  • Bladder Trabeculation

    The false passage will disappear also on cystoscopy and IC can be safely restarted. 77 Other complications such as hydronephrosis, vesico-ureteral reflux, and bladder cancer seem to relate rather to infection, bladder trabeculation, detrusor pressure [doi.org]

Treatment

Nevertheless, the timeliest moment for a possible treatment has not been fully established. [ncbi.nlm.nih.gov]

Medical aspects of the treatment of LUTS/BPH: 5-alpha reductase inhibitors 10. Medical aspects of the treatment of LUTS/BPH: anti-cholinergic 11. Medical aspects of the treatment of LUTS/BPH: combination therapies 12. [worldcat.org]

Herbal medications in the treatment of benign prostatic hyperplasia (BPH). Urol Clin North Am 2002 Feb; 29(1): 23–9 PubMed CrossRef Google Scholar 7. Santillo VS, Lowe FC. Phytotherapeutic agents for the treatment of benign prostatic hyperplasia. [doi.org]

Prognosis

Conclusion: In this study, we discussed important genetic markers in benign prostatic hyperplasia patients which may, in the future, be used as markers for diagnosis and prognosis, as well as targets for therapeutic intervention. [ncbi.nlm.nih.gov]

Can prostatitis and BPH be cured (prognosis)? The prognosis for BPH for most patients that undergo treatment is good to fair, depending upon how well patients respond. [medicinenet.com]

(Outcomes/Resolutions) The prognosis of Benign Prostatic Hyperplasia varies from individual to individual. [dovemed.com]

Prognosis The prognosis depends heavily on the underlying etiology and the epilepsy syndrome. Patients with a benign syndrome typically respond well to medication and may outgrow their epilepsy. [emedicine.medscape.com]

Etiology

Owing to the limited number of cases, the etiology and management of BPH in the first two decades is not clear. [ncbi.nlm.nih.gov]

Epidemiology

The term LUTS describes a distinct phenotype and allows for a broad epidemiologic description of urinary symptoms at a population level. [ncbi.nlm.nih.gov]

Keywords Benign prostatic hyperplasia Lower urinary tract symptoms American Urological Association Symptom Index BPH LUTS Epidemiology Risk factor Exercise Physical activity Metabolic syndrome Modifiable Obesity Diabetes Introduction The epidemiology [doi.org]

Epidemiologic Risk Factors for Benign Prostatic Hyperplasia (BPH): The epidemiology of BPH is fairly constant, some genetic factors or environmental influences may modestly increase the risk for BPH. [urology-textbook.com]

Pathophysiology

In this study, we propose a novel and tested pathophysiological mechanism for the evolution of BPH and suggest a tested and effective treatment. [ncbi.nlm.nih.gov]

Published on Jul 20, 2012 Pathophysiology lecture on the physiology of the prostate gland, and the etiology of benign prostatic hyperplasia (BPH). Distinction made between benign prostatic hypertrophy and hyperplasia. [youtube.com]

Prevention

How can benign prostatic hyperplasia be prevented? Researchers have not found a way to prevent benign prostatic hyperplasia. [web.archive.org]

The 5-α reductase inhibitors (finasteride and dutasteride) decrease serum concentrations of DHT [ 24 ] and prevent progression of clinical BPH [ 25 ]. However, it is not known whether finasteride or dutasteride will prevent incident BPH. [doi.org]

Can BPH be prevented or avoided? There is nothing you can do to prevent or avoid BPH. Recent studies have shown that increasing physical activity may help. It can lower the frequency of BPH symptoms. [familydoctor.org]

These classes of medications will often be used in combination to prevent urinary obstruction and ease symptoms. Medication doesn’t help everyone. [pcf.org]

Prevention and prostate health A symptom of BPH may be needing to urinate more than usual. According to the Urology Care Foundation, it may not be possible to prevent BPH from developing. [medicalnewstoday.com]

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