CC May 2016 Benign Prostatic Hypertrophy (BPH)

echoecho's version from 2016-09-16 00:10


Question Answer
BPH is a common disorder in men > ____ years of age and has an increased frequency with advancing age (about ___% of men in their 40s but ____% of men in their 70s)?50; 20%; 90%
What is the pathophysiology of BPH?incompletely understood
Histologically, what is happening?1) hyperplasia is seen in glandular elements in the periurethral zone and stromal elements in the transition zone 2) it is felt that s/s of BPH are related to these changes (though there is no correlation between overall prostate size on exam and the severity of patient's symptoms)
BPH may be asymptomatic (responding to lifestyle changes) or require what?medical or surgical therapy
List the symptoms referred to lower urinary tract symptoms (LUTS)?1) storage symptoms (frequency, nocturia, urgency, incontinence) 2) voiding symptoms (diminished stream, splitting, spraying, hesitancy, straining, dribbling) 3) irritative / dynamic symptoms (frequency, urgency)
Genetics is proposed to have a role, with familial studies showing that these BPH patients have earlier and more severe symtpoms, suggesting what inheritance pattern?autosomal dominant
Unlike prostate CA, where the risk is increased in AA men, is there a comparable increased risk for BPH?no
What is the treatment for LUTS?1) watchful waiting 2) pharmacologic intervention 3) surgery
What is the AUASI score? it is useful for what?1) American Urological Association Symptom Index 2) estimating the severity of symptoms and the impact of BPH on the patient's quality of life
Website for AUASI?
The 7 question servey scores 0-5 points on each question, list the total score and treatments for each?1) a score of 0-7 is considered mild disease and can be managed by "watchful waiting" 2) a score 8-19 is indicative of moderate disease that may warrant pharmacologic or surgical intervention 3) a score of 20-35 indicates severe disease and may prompt prompt attention
The AUASI may be administeredd before and after treatment in order to assess treatment effectiveness, true or false?true
*** SUMMARY = BPH is a common disorder of prostate with increasing prevalence after age ____ years and with a hereditary pattern suggesting an _______ dominant gene?50; autosomal
*** SUMMARY = Symptoms of BPH, referred to as lower urinary tract symptoms (LUTS) relate to what?1) bladder storage of urine 2) voiding pattern 3) flow and irritablity
*** SUMMARY = What symptom index is a tool available on-line that assesses symptoms for dx and efectiveness of treatment?AUASI (American Urologic Association Symptom Index)