Benign Prostatic Hypertrophy

Question 1

Name 3 symptoms that would alert you to diagnose BPH

Answer 1

1. Hesitancy
2. Nocturia
3. Weak Stream
4. Dribbling
5. Frequency of Urination
6. Incomplete emptying of bladder sensation
7. Erectile dysfunction
8. Double voiding

Question 2

Name three complications of BPH

Answer 2

1. Infection
2. Hematuria
3. Urinary retention
4. Renal calculi
5. Kidney damage

Question 3

Name TWO urinary signs or symptoms that increases one’s risk of BPH progressing to acute urinary retention

Answer 3

1. Reduction in force of urinary stream
2. Reduction in size of urinary stream
3. Sensation of incomplete bladder emptying
4. Enlarged prostate glad on digital rectal examination

Question 4

Name TWO classes of drugs and an example of each that could be used to reduce the progression to acute urinary retention

Answer 4

1. 5-alpha reductase inhibitor = Finasteride (Proscar)

2. alpha blockers = Tamsulosin (Flomax)

Question 5

Name ONE class of drugs that has been shown to reduce the risk of re-catheterization after removal

Answer 5

alpha-blockers

Question 6

Which dietary supplement has been associated with a decreased risk of developing prostate cancer? Name one:

Answer 6

Selenium

Question 7

Name 2 mechanisms by which BPH causes bladder obstruction

Answer 7

1. Mechanical compression of urethra

2. Dynamic obstruction of bladder by smooth muscle compression