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Managing patients with benign prostatic hyperplasia

R J Hicks1, J B Cook

  • 1Oklahoma University Health Sciences Center, Oklahoma City, USA.

American Family Physician
|July 1, 1995
PubMed
Summary
This summary is machine-generated.

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Benign prostatic hyperplasia (BPH) causes urinary symptoms. Diagnosis involves exams and tests, with treatment ranging from watchful waiting to surgery.

Area of Science:

  • Urology
  • Family Medicine

Background:

  • Benign prostatic hyperplasia (BPH) is a common condition causing lower urinary tract symptoms.
  • Prostatism encompasses both irritative and obstructive urinary symptoms.

Observation:

  • Diagnostic steps include neurologic examination, urinalysis, serum creatinine, and possibly catheterization.
  • Predicting future complications like urinary obstruction is challenging, even with severe symptoms.
  • The symptom course of prostatism is often variable, characterized by waxing and waning.

Findings:

  • Treatment options for BPH include watchful waiting, medication, transurethral prostatectomy, microwave thermotherapy, and laser ablation.
  • Family physicians play a role in patient counseling regarding treatment side effects and symptom management.

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Implications:

  • Accurate diagnosis and understanding the variable natural history of BPH are crucial for effective patient management.
  • Informed patient counseling on treatment risks and benefits is essential for shared decision-making in BPH care.