Benign Prostatic Hyperplasia (BPH) Questions & Answers

Updated: Jan 15, 2019
  • Author: Levi A Deters, MD; Chief Editor: Edward David Kim, MD, FACS  more...
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Questions & Answers

Overview

What is benign prostatic hyperplasia (BPH)?

What are the symptoms of benign prostatic hyperplasia (BPH)?

What is the role of digital rectal exam (DRE) in the diagnosis of benign prostatic hyperplasia (BPH)?

Which lab studies are indicated in the workup of benign prostatic hyperplasia (BPH)?

What is the role of ultrasonography in the workup of benign prostatic hyperplasia (BPH)?

Which procedures are indicated in the workup of benign prostatic hyperplasia (BPH)?

How is the severity of benign prostatic hyperplasia (BPH) determined?

What other tests are used in the diagnosis of benign prostatic hyperplasia (BPH)?

Which drugs are used in the treatment of benign prostatic hyperplasia (BPH)?

Which surgical procedures are used in the treatment of benign prostatic hyperplasia (BPH)?

What minimally invasive treatment is available for benign prostatic hyperplasia (BPH)?

What is benign prostatic hyperplasia/hypertrophy (BPH)?

What are the voiding symptoms of benign prostatic hyperplasia (BPH)?

How is benign prostatic hyperplasia (BPH) managed?

What is the anatomy of the prostate in benign prostatic hyperplasia (BPH)?

What is the role of hormones in the pathophysiology of benign prostatic hyperplasia (BPH)?

How is benign prostatic hyperplasia (BPH) characterized microscopically?

How does benign prostatic hyperplasia (BPH) contribute to bladder dysfunction?

What is the main function of the prostate gland?

How common is benign prostatic hyperplasia (BPH)?

What is the prognosis of benign prostatic hyperplasia (BPH)?

What is the patient education for benign prostatic hyperplasia (BPH)?

Presentation

Which features of the patient history are relevant to the diagnosis and treatment of benign prostatic hyperplasia (BPH)?

What symptoms are associated with benign prostatic hyperplasia (BPH)?

What is involved in the physical exam for benign prostatic hyperplasia (BPH)?

What are the complications of bladder outlet obstruction (BOO) due to benign prostatic hyperplasia (BPH)?

DDX

What other conditions cause symptoms associated with benign prostatic hyperplasia (BPH)?

What are the differential diagnoses for Benign Prostatic Hyperplasia (BPH)?

Workup

What are the guidelines for the workup of benign prostatic hyperplasia (BPH)?

When are urinalysis and urine culture indicated in the workup of benign prostatic hyperplasia (BPH)?

When is prostate-specific antigen testing indicated in the workup of benign prostatic hyperplasia (BPH)?

What are the recommendations for prostate cancer screening in patients with benign prostatic hyperplasia (BPH)?

When are electrolytes, blood urea nitrogen (BUN), and creatinine evaluations indicated in the workup of benign prostatic hyperplasia (BPH)?

What are the benefits of ultrasonography in the workup of benign prostatic hyperplasia (BPH)?

When is imaging of the upper urinary tract indicated in the workup of benign prostatic hyperplasia (BPH)?

What are the AUA guidelines for the workup and treatment of benign prostatic hyperplasia (BPH)?

What are the AUA guidelines on the assessment and workup of benign prostatic hyperplasia (BPH)?

Which tests for the workup of benign prostatic hyperplasia (BPH) are optional according to the AUA guidelines?

Which tests are not indicated in the workup of benign prostatic hyperplasia (BPH) according to the AUA guidelines?

When is cystoscopy indicated in the workup of benign prostatic hyperplasia (BPH)?

How are the histologic findings of benign prostatic hyperplasia (BPH) characterized?

Treatment

What are the therapeutic options for benign prostatic hyperplasia (BPH)?

What are the approach considerations for the treatment of benign prostatic hyperplasia (BPH)?

What is the role of alpha-blockers in the treatment of benign prostatic hyperplasia (BPH)?

Which alpha-blocking drugs are used in the treatment of benign prostatic hyperplasia (BPH)?

What is the role of phenoxybenzamine in the treatment of benign prostatic hyperplasia (BPH)?

What is the role of selective alpha-blockers in the treatment of benign prostatic hyperplasia (BPH)?

What are the potential adverse effects of alpha blockers in the treatment of benign prostatic hyperplasia (BPH)?

What is the role of 5-alpha-reductase inhibitors (5-ARIs) in the treatment of benign prostatic hyperplasia (BPH)?

How effective are 5-ARIs for the treatment of benign prostatic hyperplasia (BPH)?

What precautions are indicated for 5-ARIsin the treatment of benign prostatic hyperplasia (BPH)?

Do 5-ARIs prevent prostate cancer in patients with benign prostatic hyperplasia (BPH)?

What are the AUA guidelines on the use of combination therapy for the treatment of benign prostatic hyperplasia (BPH)?

What clinical trials have been conducted on combination therapy for the treatment of benign prostatic hyperplasia (BPH)?

How effective are phosphodiesterase-5 (PDE5) inhibitors in the treatment of benign prostatic hyperplasia (BPH)?

What are the UAU guidelines on anticholinergic drugs for the management of benign prostatic hyperplasia (BPH)?

What is involved in long-term monitoring of benign prostatic hyperplasia (BPH)?

What is the role of phytotherapeutic agents and dietary supplements in the treatment of benign prostatic hyperplasia (BPH)?

What is the origin of phytotherapeutic agents used in the treatment of benign prostatic hyperplasia (BPH)?

Is saw palmetto an effective treatment for benign prostatic hyperplasia (BPH)?

Is African plum tree an effective treatment for benign prostatic hyperplasia (BPH)?

Is rye (Secale cereale) an effective treatment for benign prostatic hyperplasia (BPH)?

Are pumpkin seeds (Cucurbita pepo) an effective treatment for benign prostatic hyperplasia (BPH)?

What are the indications for transurethral resection of the prostate (TURP) in the treatment of benign prostatic hyperplasia (BPH)?

How is TURP performed in the treatment of benign prostatic hyperplasia (BPH)?

What are the drawbacks of TURP in the treatment of benign prostatic hyperplasia (BPH)?

What are the options for minimally invasive therapy for the treatment of benign prostatic hyperplasia (BPH)?

When is transurethral incision of the prostate (TUIP) indicated in the treatment of benign prostatic hyperplasia (BPH)?

How are lasers used in the treatment of benign prostatic hyperplasia (BPH)?

How effective is laser treatment for benign prostatic hyperplasia (BPH)?

When is transurethral microwave therapy (TUMT) indicated for the treatment of benign prostatic hyperplasia (BPH)?

When is transurethral needle ablation of the prostate (TUNA) indicated for the treatment of benign prostatic hyperplasia (BPH)?

When is high-intensity ultrasound energy therapy indicated for the treatment of benign prostatic hyperplasia (BPH)?

What is the Rezum system for the treatment of benign prostatic hyperplasia (BPH)?

What mechanical approaches are used to treat benign prostatic hyperplasia (BPH)?

How is prostatic artery embolization (PAE) used in the treatment of benign prostatic hyperplasia (BPH)?

When is open prostatectomy indicated for the treatment of benign prostatic hyperplasia (BPH)?

What is involved in open prostatectomy for the treatment of benign prostatic hyperplasia (BPH)?

How can benign prostatic hyperplasia (BPH) be prevented?

Medications

What are the goals of drug treatment for benign prostatic hyperplasia (BPH)?

Which medications in the drug class Combination Products are used in the treatment of Benign Prostatic Hyperplasia (BPH)?

Which medications in the drug class Phosphodiesterase-5 Enzyme Inhibitors are used in the treatment of Benign Prostatic Hyperplasia (BPH)?

Which medications in the drug class 5-Alpha-Reductase Inhibitors are used in the treatment of Benign Prostatic Hyperplasia (BPH)?

Which medications in the drug class Alpha-Adrenergic Blockers are used in the treatment of Benign Prostatic Hyperplasia (BPH)?