28 Questions
Which of the following is a common symptom of benign prostatic hyperplasia (BPH)?
Difficulty in urination
Which grade of benign prostatic hyperplasia (BPH) is characterized by permanent micturition disturbance and a maximal urinary flow of less than 10ml/sec?
Grade 4
What is the recommended therapy for Grade II phase of benign prostatic hyperplasia (BPH)?
Spasmolytics and bowel regulation
Which plants are used for treatment in therapy?
Both Serenoa Repens and Prunus Africana
What are the important constituents of Serenoa Repens (Saw Palmetto)?
Fatty acid and Phytosterols (β-sitosterol)
What undesirable effect may occur when using Serenoa Repens (Saw Palmetto)?
All of the above
Which one of the following is a common symptom of benign prostatic hyperplasia (BPH)?
Increased frequency of urination
Which grade of benign prostatic hyperplasia (BPH) is characterized by intermittent micturition disturbance and a maximal urinary flow of 10-15ml/sec?
Grade II, phase of growth
What is the recommended therapy for Grade III residual volume phase of benign prostatic hyperplasia (BPH)?
Pharmacotherapy or phytotherapy
Which enzyme does Serenoa Repens (Saw Palmetto) inhibit in the prostate?
5α-reductase
What is the pharmacotherapeutic group of Serenoa Repens (Saw Palmetto)?
Benign prostatic hyperplasia
Which medicinal product has been reported to have potential interactions with Serenoa Repens (Saw Palmetto)?
Warfarin
Which of the following is a common symptom of benign prostatic hyperplasia (BPH)?
Frequent urination
What is the recommended therapy for Grade I phase of benign prostatic hyperplasia (BPH)?
Bowel regulation and abstinence of alcohol
Which enzyme does Serenoa Repens (Saw Palmetto) inhibit in the prostate?
5-alpha-reductase
Which plant is used for treatment of benign prostatic hyperplasia (BPH) and inhibits the enzyme responsible for converting testosterone to dihydrotestosterone in the prostate?
Serenoa Repens (Saw Palmetto)
Which plant contains a specific androgen receptor antagonist and esters of ferulic acid with anti-inflammatory effects?
Prunus Africana (Pruni Africani Cortex)
Which plant has the potential to interact with warfarin and may increase INR values?
Serenoa Repens (Saw Palmetto)
What is the main activity of Serenoa Repens (Saw Palmetto) in the prostate?
Inhibition of 5α-reductase
Which undesirable effect may occur when using Serenoa Repens (Saw Palmetto)?
GI disorders (nausea, abdominal pain)
Which grade of benign prostatic hyperplasia (BPH) is characterized by a bladder wall that starts to be thickened?
Grade II, phase of growth
What is the recommended therapy for Grade III residual volume phase of benign prostatic hyperplasia (BPH)?
Pharmacotherapy or phytotherapy
Which symptom is associated with Grade IV phase of benign prostatic hyperplasia (BPH)?
Permanent micturition disturbance, maximal urinary flow <10ml/sec, residual urinary volume >100ml
Which grade of benign prostatic hyperplasia (BPH) is characterized by a bladder wall that starts to be thickened?
Grade II
Which enzyme does Serenoa Repens (Saw Palmetto) inhibit in the prostate?
5-alpha reductase
Which plant is used for the treatment of benign prostatic hyperplasia (BPH)?
Serenoa Repens (Saw Palmetto)
What are the important constituents of Serenoa Repens (Saw Palmetto)?
Fatty acid and Phytosterols (β-sitosterol)
Which undesirable effect may occur when using Serenoa Repens (Saw Palmetto)?
All of the above
Study Notes
Benign Prostatic Hyperplasia (BPH)
- A common symptom of BPH is nocturia (frequent nighttime urination)
BPH Grades
- Grade I: characterized by minimal symptoms
- Grade II: characterized by intermittent micturition disturbance and a maximal urinary flow of 10-15ml/sec
- Grade III: characterized by permanent micturition disturbance and a maximal urinary flow of less than 10ml/sec
- Grade IV: characterized by a bladder wall that starts to be thickened, and symptoms such as urinary retention and incontinence
Treatment of BPH
- Recommended therapy for Grade I BPH: watchful waiting
- Recommended therapy for Grade II BPH: medical therapy
- Recommended therapy for Grade III residual volume BPH: surgery
Serenoa Repens (Saw Palmetto)
- Used for treatment of BPH
- Important constituents: phytosterols, fatty acids, and flavonoids
- Inhibits the enzyme 5-alpha-reductase in the prostate, which converts testosterone to dihydrotestosterone
- Pharmacotherapeutic group: plant-based medication
- May interact with warfarin and increase INR values
- Undesirable effect: gastrointestinal disturbances
Other Plants Used for BPH Treatment
- Some plants used for BPH treatment inhibit the enzyme responsible for converting testosterone to dihydrotestosterone in the prostate
- Some plants contain specific androgen receptor antagonists and esters of ferulic acid with anti-inflammatory effects
Test your knowledge on Benign Prostatic Hyperplasia (BPH) and its symptoms with this quiz. Learn about the common symptoms and the effectiveness of phytotherapy as a treatment option. Discover more about this condition that affects many older men.
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