Benign prostatic hyperplasia (BPH) is a noncancerous enlargement of the prostate gland that occurs in older men. It is caused by hyperplasia of both glandular and stromal cells in the prostate. BPH causes bothersome lower urinary tract symptoms such as frequent and urgent urination. If left untreated, it can lead to complications like urinary tract infections, kidney damage, and renal failure. Diagnosis involves medical history, physical exam, and tests like urinalysis and uroflowmetry. Treatment options include lifestyle changes, medications like alpha blockers and 5-alpha reductase inhibitors, and surgeries like transurethral resection of the prostate.
The prostate is a walnut-sized gland that forms part of the male
reproductive system. The gland is made of two lobes, or regions,
enclosed by an outer layer of tissue. As the diagrams show, the prostate
is located in front of the rectum and just below the bladder, where
urine is stored. The prostate also surrounds the urethra, the canal
through which urine passes out of the body.
Scientists do not know all the prostate's functions. One of its
main roles, though, is to squeeze fluid into the urethra as sperm move
through during sexual climax. This fluid, which helps make up semen,
energizes the sperm and makes the vaginal canal less acidic.
Guide on improving prostate health for a better urinary stream.docxRichard Smith
Chapter 1: Introduction
The importance of prostate health cannot be overstated, as the prostate gland plays a crucial role in the male reproductive system and overall well-being. Here are some key points highlighting its significance:
Reproductive Function: The prostate is responsible for producing seminal fluid, which nourishes and transports sperm during ejaculation. A healthy prostate is essential for fertility and successful reproduction.
Urinary Function: The prostate surrounds the urethra, the tube that carries urine from the bladder out of the body. When the prostate is healthy, it doesn't obstruct the urethra, allowing for normal urine flow. Prostate problems, such as enlargement (BPH), can obstruct the urethra, leading to urinary issues like weak flow, frequent urination, and difficulty emptying the bladder.
Quality of Life: Prostate issues, if left untreated, can significantly impact a man's quality of life. Symptoms like urinary urgency, nocturia (frequent nighttime urination), and discomfort can disrupt daily activities, sleep, and overall well-being.
Cancer Risk: Prostate cancer is one of the most common cancers in men. Regular screenings and early detection are vital for successful treatment. Maintaining prostate health can reduce the risk of developing prostate cancer or catching it in its early stages when it's more treatable.
Aging and Hormones: Prostate health is closely tied to hormonal changes, especially with age. An imbalance in hormones, particularly the male sex hormone testosterone, can affect prostate growth and function. Understanding these hormonal dynamics is essential for maintaining prostate health.
Preventative Measures: Proactive measures, including a healthy diet, regular exercise, and avoiding known risk factors (like smoking and excessive alcohol consumption), can promote prostate health. Awareness of family history and risk factors also helps in early intervention.
A benign (not cancer) condition in which an overgrowth of prostate tissue pushes against the urethra and the bladder, blocking the flow of urine. Also called benign prostatic hyperplasia and BPH.
Similar to BPH#Benign Prostate Hyperplasia#Benign Prostate enlargement#BPE#Prostate#BOO#LUTS#TURP#Dr Mahesh#Urinary system# (20)
Ayurveda has a description of many diseases and their treatment including Galganda. The Ayurveda basic principle is helpful for the treatment of hypothyroidism hyperthyroidism. Ayurvedic aspect for treatment of Thyroid disorder. being tried to mention in this slide
Treatment of Thyroid disorders in Ayurveda prospective
Galganda, thyroid disorder, hypothyroidism, hyperthyroidism.
The Avabahuka disease is nearer to Frozen shoulder of musculoskeletal disorders.
Avabahuka is a Vata vikar as per Ayurveda that affects the ansha sandhi i.e. shoulder joint. The description available in Charak samhita, Sushruta samhita, Ashtanga Hridaya etc. The pain, stiffness, and decreased ROM range of motion is a classical feature of a frozen shoulder.
The treatment of frozen shoulder is possible in Ayurveda through drugs and various treatment modalities depending on the stages of the case.
Fp 31-leech therapy-dr mahesh kumar-pdf
Leech therapy or Jalaukavacharan is a bloodletting procedure described in Ayurveda. It is a very useful procedure in the treatment of various medical and surgical diseases.
drmaheshkumar,new delhi
Commonly known as BLEACH, used as a disinfecting agent.
The sodium hypochlorite solution got much popularity in society during COVID-19 pandemic situation
It is frequently uses in health care facility, quarantine centres, isolation centres and even at home.
Its compulsory for everyone that, what is the exact role of solution and correct method of use. It requires awareness.
Many of health care staff /house keeping staff also not much aware how to prepare fresh hypochlorite solution.
Here an effort is taken to describe the topic in practical way
Commonly known as BLEACH, used as a disinfecting agent.
The sodium hypochlorite solution got much popularity in society during the COVID-19 pandemic situation
It is frequently used in health care facilities, quarantine centers, isolation centers, and even at home.
Its compulsory for everyone that, what is the exact role of solution and the correct method of use. It requires awareness.
Many of the health care staff /housekeeping staff are also not much aware of how to prepare fresh hypochlorite solutions.
Here an effort is taken to describe the topic in a practical way
कोरोना सेंटर पर ड्यूटी करने के समय मेडिकल स्टाफ में संक्रमण से बचाव एवं नियंत्रण , साथ ही साथ अस्पताल में संक्रमण वचाव एवं नियंत्रण
This is sensitization for general health care staff like doctors, nurses, attendants, housekeeping regarding infection prevention and control in context to COVID-19 duty. How to protect staff and prevent infection at corona centers. The topic includes standard precautions, hand hygiene, hand washing technique, 5 moment of hand hygiene, 6 steps of hand hygiene, BMW rule 2016, waste management, donning, doffing, PPE, sharp injury management, waste management, etc. Also, have a description of how to clean equipment, oxygen cylinders, lift, linen etc.
This is an educational talk to sensitize and aware the staff while going for duty..
Agnikarma is parasurgical procedure of ayurveda
The AGNIKARMA, DAHAKARMA, DAHANKARMA, DAGDHAKARMA are intentional therapeutic heat burn therapy used for the treatment of diseases caused by vata and kapha doshas..
Here definitions, indications, contraindications, materials required, methods, dahanopkarana, importance, and superiority of agnikarma are mentioned in detail.
Agnikarma is an intentional therapeutic heat burn therapy. It is parasurgical procedure of Ayurveda and indicated in vataja and kaphaja dosha diseases.
Fracture & dislocation is well described in Ayurveda. Sushruta Samhita have a separate chapter for bhagna etiology, features, types, prognosis, Management by name of Bhagna-Kandabhagna-Sandhimukta. The basics principles and management of fracture are accurate as per modern orthopedics.
Pain management of Anorectal disorders ARD
Ksharasutra Ksharsutra therapy
Anorectal disorders are piles, fistula etc
Post therapy care especially pain management
Dr Mahesh Kumar 18 aug2020
More from CBPACS, Khera Dabar, Najafgarh New Delhi- 73 (20)
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
1. Benign Prostatic
Hyperplasia
(BPH)
DR MAHESH KUMAR
M.S.(Ay)
Assistant Professor
चौधरी ब्रह्म प्रकाश आयुर्वेद चरक संस्थान नई ददल्ली
8/31/2021 7:04 AM BPH -Dr Mahesh Kumar 1
पौरुष ग्रंदथ र्वृद्धि
बुढ़ापे में गदू द
प्रोस्टेट का बढ़ना बुढ़ापे में मूत्र त्याग में ददक्कत होना
2. Prostate is an organ found in male.
It is walnut-shaped gland that forms part of the
male reproductive system
The prostate surrounds the urethra at the
Urinary bladder neck
Prostate has 5 lobes- Ant., Post., 2 lateral,
median
Common disease of prostate are BPH, CA
Prostate, Prostatitis.
The fascia of Denon-villier is part of pelvic
peritoneum prevent the spread of CA prostate
in rectum
8/31/2021 7:04 AM BPH -Dr Mahesh Kumar 2
PROSTATE
3. BPH is a benign enlargement of the prostate gland
It is nonmalignant in nature
BPH caused by cellular hyperplasia of both glandular and
stromal elements that leads to troublesome LUTS in men
BPH- most common benign tumor in men
BPH is not a precancerous condition
8/31/2021 7:04 AM BPH -Dr Mahesh Kumar 3
Benign Prostate
Hyperplasia BPH
4. 8/31/2021 7:04 AM BPH -Dr Mahesh Kumar 4
BPH- clinical
condition consist of
BPE+LUTS+BOO
5. Seondary effects in BPH
1. Effect on urethra
occurs
2. Changes in U.B
3. Changes at Ureter
and Kidney level
BACK PRESSURE
EFFECTS ON UB AND
KIDNEY LIKE
FASCICULATION,
SACCULATION,
HYDRONEPHROSIS.
8/31/2021 7:04 AM BPH -Dr Mahesh Kumar 5
CHANGES IN
BPH
– Histologic: stromal and glandular
hyperplasia
• May be associated with
– Clinical: presence of bothersome
LUTS
– Anatomic: enlargement of the
gland (BPE = Benign Prostatic
Enlargement)1
– Pathophysiologic: compression of
urethra and compromise of
urinary flow BOO
6. BPH is part of the
natural aging
process,
Androgens/Estrogens
Lifestyle
Hereditary(genetic)/Unknown
8/31/2021 7:04 AM BPH -Dr Mahesh Kumar 6
n
n
n
n
WHAT CAUSES
BPH ?
2 theories popular
regarding
aetiopathogenesis-
1.HORMONALTHEORY
2. NEOPLASTICTHEORY
7. Frequent and urgent need to
urinate, especially at night
Dribbling or leaking after
urination
weak stream
Urinary Retention
Straining to urinate
Pain or burning during urination
Feeling that the bladder never
completely empties
-FREQUENCY
-URGENCY
-HESITANCY
-URINE
RETENTION-
ACUTE/CHRONIC
8/31/2021 7:04 AM BPH -Dr Mahesh Kumar 7
SIGN-SYMPTOMS
8. • Prostate grows with age and time
• Pressure on the urethra restricts urine
flow smoothly.
8/31/2021 7:04 AM BPH -Dr Mahesh Kumar 8
Why symptoms appear ?
Later if not treated-
Risk of bladder and kidney damage
Impact on quality of life
9. Urinary retention
Renal impairment RENAL FAILURE
UTI
DIVERTICULI
Hematuria
Bladder stones
Bladder decompensation
Overflow incontinence as
a result of retention
RENAL FAILURE
8/31/2021 7:04 AM BPH -Dr Mahesh Kumar 9
Complications
10. History taking
LOCAL & systemic Examination
DRE
Blood Investigations, BU, S.creatinine
Urinary flow test- uroflowmetry
Serum PSA levels
USG- Abdominal /TRUS
IVP, ystoscopy, Biopsy if needed
8/31/2021 7:04 AM BPH -Dr Mahesh Kumar 10
How to make Diagnosis ?
11. BPH needs to be treated ONLY IF:
Symptoms, enough to affect quality of life
Symptoms like
frequent UTI-urinary tract infections
Bleeding
damage to kidneys
Damage to UB
stones etc
8/31/2021 7:04 AM BPH -Dr Mahesh Kumar 11
n
n
When to treat ?
12. Wait and watch….. On observation
Medical treatment
• alpha blockers
• 5-alpha reductase inhibitors (finasteride,
dutasteride)
• Combination alpha-blocker & 5 ARI
Surgical treatment
• TURP
• Minimally invasive surgeries
• Open prostatectomy
8/31/2021 7:04 AM BPH -Dr Mahesh Kumar 12
MANAGEMENT
13. Regular Exercise,avoid weight gain
Limit fluid intake,
decrease bladder irritants-caffeine, alcohol;
avoid anticholinergic drugs, narcotics and muscle
relaxants
Consult Urologist if symptoms worsen or aggravate
8/31/2021 7:04 AM BPH -Dr Mahesh Kumar 13
Wait and watch…..Lifestyle
14. Indications
• Signs and symptoms of BPH
• Patients not fit or unwilling to undergo surgery
• For the management at Before surgery & Post
surgery
8/31/2021 7:04 AM
BPH -Dr Mahesh Kumar
14
Medical Management
Two types of medicine prescribe
Muscle relaxants - relax the prostate and provide a larger
urethral opening (Tamsulosin, Alfuzosin)
Shrink the prostate gland (Dutasteride, Finasteride)
15. Benefits of
medical Mx
Convenient
No loss of work
time
Minimal risk
Disadvantages of
Medical Mx
• Expensive
• Drug Interactions
• Must be taken every
day
• Manages the
problem instead of
fixing it
8/31/2021 7:04 AM BPH -Dr Mahesh Kumar 15
n
n
n
Medical Management……………………………..contd
16. • Alpha blockers: best monotherapy,
immediate symptom relief
• 5 alpha-reductase inhibitors: prevent disease
progression
• Combination therapy ( alpha blocker + 5
alpha-reductase inhibitor) is considered
most effective treatment for symptoms and
progression in case moderate-to-severe
symptoms
8/31/2021 7:04 AM BPH -Dr Mahesh Kumar 16
Drugs……………
17. • This combination
is most effective
• Dual mechanism of
action
• Reduce clinical
progression of BPH
• Improve LUTS
symptoms
• Improve maximum
urinary flow rates
8/31/2021 7:04 AM BPH -Dr Mahesh Kumar 17
• Long-acting
selective 1-
blockers
– Terazosin
– Doxazosin
– Tamsulosin
– Alfuzosin
– Silodosin
18. Surgery - Gold standard in symptomatic pt
Surgery is recommended in patients
in whom BPH causes:
– Renal insufficiency
– Urinary retention
– Recurrent urinary tract infection
– Bladder calculi
– Hydronephrosis
– Post void residual volume >500 mL
8/31/2021 7:04 AM BPH -Dr Mahesh Kumar 18
Surgical Management
19. Suprapubic & retro pubic prostatectomy
Transurethral resection of prostate (TURP)
Laser prostatectomy
Transurethral incision of prostate
Intraprostatic stent
Balloon dilatation of prostatic urethra
Prostatic hyperthermia
8/31/2021 7:04 AM BPH -Dr Mahesh Kumar 19
Surgical Methods
20. “Gold Standard” of care for BPH
Uses an electrical “knife” to surgically cut and
remove excess prostate tissue
Effective in relieving symptoms and restoring
urine flow
TURP
(transurethral resection of the prostate)
n
n
n
8/31/2021 7:04 AM BPH -Dr Mahesh Kumar 20
21. Open Prostatectomy
• Conventional method
• Not done routinely
• When prostate too large forTURP (>100mL)
• Concomitant conditions - bladder diverticulum or
bladder stone present.
8/31/2021 7:04 AM BPH -Dr Mahesh Kumar 21
23. CONCLUSION
BPH is an old age disease of men.
Many of BPH patient are asymptomatic or have only
mild symptoms, and may not require therapy,. Some
are manage with conservatively –Medical therapy.
Combined therapy is now in practice.
The alpha blocker like tamsulosin and 5-AR inhibitor
like finesteride therapy are good, for long-term
Treatment
TURP is the GOLD STANDARD for - an invasive
procedure, most popular procedure in urology.
8/31/2021 7:04 AM BPH -Dr Mahesh Kumar 23
24. THANKS
THANK YOU SO MUCH FOR YOUR PATIENCE LISTENING…………..
धन्यर्वाद
8/31/2021 7:04 AM BPH -Dr Mahesh Kumar 24
Note- for the teaching purpose of BAMS students only….