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Benign prostatic hyperplasia Prepared by Dr.sarwar N mahmood F.I.C.M.S( urology),F.E.B.U, E.A.U
 
 
Incidence and epidemiology ,[object Object],[object Object],[object Object]
 
Risk factors ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pathology ,[object Object]
 
Clinical features  ,[object Object]
Clinical features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Clinical features
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical findings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
investigation ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object]
Complications of bladder outlet obstructions: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Watchful waiting ,[object Object],[object Object]
Medical treatment
 
Alpha blockers   Classification Oral dosage Non selective(phenoxybenzamine) 10 mg twice daily Alpha-1 short acting Prazosin Alfuzosin 2mg twice daily 2-10mg  daily(divided dose)  Alpha-1 long acting Terazosin Doxazosin 5 or10mg daily 4 or 8 gm daily Alpha-1a selective Tamsulosin .4 or .8 mg daily.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Medical treatment
conventional surgical therapy
 
1.transurethral resection of prostate(TURP)
 
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
2. Transurethral incision of prostate (TUIP):
 
3.open simple prostatectomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transvesical prostatectomy
 
 
 
 
 
 
Transvesical prostatectomy
retropubic prostatectomy
 
 
 
 
minimally invasive therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
1.Laser therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
minimally invasive therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2. transurethral vaporization of prostate (TUVP):
minimally invasive therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3. Transurethral hyperthermia (TUMT):
minimally invasive therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
4. Transurethral needle ablation of the prostate (TUNA):
TUNA
minimally invasive therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 

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