12 Questions
What is the most common age group affected by benign prostatic hyperplasia (BPH)?
Men over 50 years old
What are the typical symptoms that occur with prostate pathology?
Lower urinary tract symptoms (LUTS)
What scoring system can be used to assess the severity of lower urinary tract symptoms in BPH?
International Prostate Symptom Score (IPSS)
Why is prostate-specific antigen (PSA) testing considered unreliable?
High rate of false positives (75%) and false negatives (15%)
What may happen if a false positive PSA result occurs?
Further investigations, including invasive prostate biopsies, which may be unnecessary
Why is it important not to rush when performing a prostate examination?
You are more likely to miss abnormalities
What are the two main medical options for treating BPH?
Alpha-blockers and 5-alpha reductase inhibitors
How do inhibitors of 5-alpha reductase, such as finasteride, work in treating BPH?
They reduce DHT in the tissues, including the prostate, leading to a reduction in prostate size.
What is the notable side effect of alpha-blockers like tamsulosin?
Postural hypotension
What is the most common side effect of finasteride?
Sexual dysfunction
What is the aim of Transurethral Resection of the Prostate (TURP)?
To create a more expansive space for urine to flow through, thereby improving symptoms.
What is the difference between Transurethral electrovaporisation of the prostate and Holmium laser enucleation of the prostate?
TEVAP vaporises prostate tissue using a rollerball electrode, while HoLEP removes prostate tissue using a laser.
Test your knowledge on Benign Prostatic Hyperplasia (BPH), a common condition in older men caused by prostate cell hyperplasia. Learn about lower urinary tract symptoms and the International Prostate Symptom Score (IPSS).
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