BPH and TURP

• BPH is enlarged prostate that puts pressure on the urinary tract
• Symptoms of BPH include dribbling, pain, nocturia, dysuria, and difficulty starting urination.
• Diagnostic study to check prostate size is DRE
• Drug Therapy for BPH

  • alpha-blockers: Ex. tamsulosin which helps in relaxing smooth muscle
  • 5a reductase inhibitor: Ex. ends in steride. SE's include libido and erectile dysfunction. Pregnant women should not touch this medication
• Men >50 years old should get annual DRE
• Care Post-TURP includes continuous bladder irrigation where 3L of fluid goes into the bladder
• Blood clots are normal Post-TURP for 36 hours only
• Drug therapy Post-TURP

  • antispasmodics Ex: oxybutin
  • analgesics
  • stool softeners
  • kegel exercises