Benign prostatic hyperplasia

Tan Jack Syen

Anatomy of prostate

Clinical symptoms
Symptoms (Urinary) Consequences
Prostatism:
a) Frequency
b) Urgency
c) Hesitancy
d) Slow stream
e) Nocturia
f) Terminal dribbling

Residual urine

Gross hematuria
Infections due to incomplete
emptying
Bladder calculi
AUR
Bladder overdistension
Defunctionalized bladder
Uraemia
AUA / IPSS

Total score
Mild (symptom score less than of equal to 7)

Moderate (symptom score range 8-19)

Severe (symptom score range 20-35)

Complications
Hydroureteronephrosis Functional
obstruction of intravesical ureter (hypertrophic
trigone)

Infections (vesical and prostatic) Obstruction
and residual urine

Bladder diverticulae

Bladder calculi Infected residual urine

Treatment
Medical Surgical
Alpha blocker

5 alpha reductase inhibitor
Transurethral resection of the
prostate

Laser vaporization of prostate

Suprapubic (simple)
prostatectomy