Benign prostatic hyperplasia

• What is the stereotypical presentation of BPH?

  Middle-aged or elderly male presenting with lower urinary tract symptoms
• What are some 'storage' symptoms associated with BPH?

  Inc urinary frequency

  Nocturia

  Urge incontinence
• What are some 'voiding' symptoms associated with BPH?

  Hesitancy

  Weak/slow flow of urine

  Dribbling
• What are some initial investigations for BPH?

  Urine dip

  Prostate specific antigen = raised

  Post void residual urine measurement
• What are some lifestyle alterations for the management of BPH?

  Avoiding fluids before bed

  Dec consumption of diuretic fluids

  'Double voiding' (emptying bladder twice whilst at toilet)
• What is the first line drug for the management of BPH?

  Alpha-blockers e.g. tamsulosin
• What surgical management may be done for severe BPH symptoms?

  Transurethral resection of the prostate (TURP) - Remove prostate tissue
• What are some complications involved with BPH?

  UTIs

  Acute urinary retention

  Bladder stones

  Bladder damage

  Kidney damage