Benign prostatic hyperplasi1

Benign prostatic hyperplasi1 - dysuria are usually not...

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Benign prostatic hyperplasia (BPH) Benign prostatic hyperplasia (BPH) also known as benign prostatic hypertrophy (technically a misnomer), benign enlargement of the prostate (BEP), and adenofibromyomatous hyperplasia, refers to the increase in size of the prostate. Presentation This is common in 24% of men aged 40-64 and 40% over 65. It is a proliferation of prostate tissue of inner transitional zone around urethra (cancer effects peripheral zone) Benign prostatic hyperplasia symptoms are classified as storage or voiding. Storage symptoms include urinary frequency, urgency (compelling need to void that cannot be deferred), urgency incontinence, and voiding at night (nocturia). Voiding symptoms include urinary stream, hesitancy (needing to wait for the stream to begin), intermittency (when the stream starts and stops intermittently), straining to void, and dribbling. Pain and
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Unformatted text preview: dysuria are usually not present. BPH can be a progressive disease, especially if left untreated. Incomplete voiding results in stasis of bacteria in the bladder residue and an increased risk of urinary tract infection. Urinary bladder stones are formed from the crystallization of salts in the residual urine. Urinary retention, termed acute or chronic, is another form of progression. Acute urinary retention is the inability to void, while in chronic urinary retention the residual urinary volume gradually increases, and the bladder distends. Some patients that suffer from chronic urinary retention may eventually progress to renal failure, a condition termed obstructive uropathy. In summary, the major symptoms are: • Nocturia • Frequency • Dribbling • Poor stream • Strangury • Hesitancy • Overflow incontinence • Haematuria • Stones • UTI...
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Benign prostatic hyperplasi1 - dysuria are usually not...

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