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Benign Prostatic Hyperplasia
The document discusses prostate physiology and related conditions, particularly benign prostatic hyperplasia (BPH) which leads to urinary symptoms such as hesitancy, increased frequency, and urgency. It highlights the role of androgens and estrogen in prostate growth, along with symptoms and assessment methods, including urinary flow tests and quality of life assessments. Additional medical procedures for evaluation include prostate biopsy and cystoscopy.
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Benign Prostatic Hyperplasia
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- 22. Sensitization of prostatic nuclear membranebound androgen receptors Increased binding of androgens (DHT) that stimulates stromal cells proliferation B.P.H 01 02 04 03
- 23. 2 1 Oestrogen sensitizeprostate To receive androgens Inhibition of apoptosis results in growth of prostate tissues 3
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- 31. ♔ ♖ ♗ ♘ ♙ ♜ ♛ 1 2 34 5 6 A CU T E U R I N A R Y R E T E N T I O N R E C U R R E N T U T I H A E M A T U R E A F A T I G U E N A U S E A A N D V O M I T I N G B L A D D E R D A M A G E A N D B L A D D E R S T O N E S Other symptoms
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- 35. In the pastmonth: Not at All Less than 1 in 5 Times Less than Half the Time About Half the Time More than Half the Time Almost Always Your score 1. Incomplete Emptying How often have you had the sensation of not emptying your bladder? 0 1 2 3 4 5 2. Frequency How often have you had to urinate less than every two hours? 0 1 2 3 4 5 3. Intermittency How often have you found you stopped and started again several times when you urinated? 0 1 2 3 4 5 4. Urgency How often have you found it difficult to postpone urination? 0 1 2 3 4 5 5. Weak Stream How often have you had a weak urinary stream? 0 1 2 3 4 5 6. Straining How often have you had to strain to start urination? 0 1 2 3 4 5 None 1 Time 2 Times 3 Times 4 Times 5 Times 7. Nocturia How many times did you typically get up at night to urinate? 0 1 2 3 4 5 Total I-PSS Score
- 36. Quality of LifeDue to Urinary Symptoms Delighted Pleased Mostly Satisfied Mixed Mostly Dissatisfied Unha ppy Terrible If you were to spend the rest of your life with your urinary condition just the way it is now, how would you feel about that? 0 1 2 3 4 5 6
- 37. 24 HOURS VOIDING DIARY PROSTATEBIOPSY CYSTOSCOPY TRANSRECTAL ULTRASOUND POST VOIDAL RESIDUAL VOLUME INTRA VENOUS PYLOGRAM