• Share
  • Email
  • Embed
  • Like
  • Save
  • Private Content

Loading…

Flash Player 9 (or above) is needed to view presentations.
We have detected that you do not have it on your computer. To install it, go here.

Like this presentation? Why not share!

Benign prostateic hyperplasia

on

  • 761 views

 

Statistics

Views

Total Views
761
Views on SlideShare
761
Embed Views
0

Actions

Likes
0
Downloads
21
Comments
0

0 Embeds 0

No embeds

Accessibility

Categories

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

    Benign prostateic hyperplasia Benign prostateic hyperplasia Presentation Transcript

    • Benign prostateic hyperplasia Dept. of urology.Shanghai Renji hospital Wang YiXin
    • Etiology of BPH  The etiology of BPH IS undoubtedly multifactorial. However,it is well recognized that two prerequisites for its induction are the testes and aging .  Because prostatic growth is regulated principally by androgen.  It has been suspected for years that BPH is under endocrine control .In addition. There is compelling evidence for a major role of the stroma in the induction of the disease .
    • Pathology of BPH  The basic change is that of epithelial hyperplasia of the prostatic glands and their fibrous stroma  A wide variation between epithelial and fibrous elements.  The hypertrophy originates in the periurethral glands  Form a false capsule.
    • Clinical features Local symptoms General symptoms  Increased frequency  Lassitude due to  Nocturia ,hesitancy nocturia.  Feeling of incomplete  Renal pain. Emptying .  Prinephric abscess .  Dribbling, Dysuria.  Progressive renal  Haematuria, Epididymitis failure.  Anorexia ,Nausea, Vom  Urgency, Incontinence. iting  Micturition easier on  Dyspnoea,Coma. squatting
    • Diagnosis of BPH  Clinical history  General examination  Rectal examination :size,consistency, irregularities or hard nodules.  Becteriological tests:MSU (meadum stream urine)  Haematological tests:anaemia  Biochemical tests:blood urea and creatinine, electrolytes, PSA.
    • Diagnosis of BPH(Radiology)  Straight x-ray, KUB.  IVP shows: 1.suppression of renal function 2.hydronephrosis and hydroureter 3.fish-hooking of the lows ends of the ureter 4.trabeculation of the bladder 5.bladder diverticular formation 6.filling defects in the bladder 7.residual contrast left in the bladder after micturition  RGP,when non-functioning kidney is present.
    • Other investigations  Electro—cardiography to assese myocardial state  Chest x—ray  Pulmonary function tests
    • Treatment of BPH  Chronic retention of urine  Acute retention 1. Conservative methods by running water taps to induce to void ,sitting in a warm bath 2. Catheterrisation 3. Suprapubic cystostomy:temporary form of suprapubic cystostomy,catheter should be changed at monthly.
    • Operative treatment of BPH  Transurethral prostatectomy  Retropubic prostatectomy  Transvesical prostatectomy  Transperineal prostatectomy  Cryogenic prostatectomy  Microwave therapy