What is the gold standard for BPH?

Transurethral resection of the prostate is the current gold standard treatment for benign prostatic hyperplasia (BPH); however, the risks and complications associated with this procedure correlate with prostate size, and consequently open surgery is often required to treat large prostates (>100 g).

What is AUA BPH?

BPH is a histologic diagnosis that refers to the proliferation of smooth muscle and epithelial cells within the prostatic transition zone. The prevalence and the severity of LUTS in the aging male can be progressive and is an important diagnosis in the healthcare of patients and the welfare of society.

What zones affect BPH?

BPH originates in the transition zone, which surrounds the urethra.

How is the severity of BPH determined?

American Urological Association Symptom Index A score of 7 or less indicates mild BPH; a score of 8 to 19 indicates moderate BPH; a score of 20 to 35 indicates severe BPH.

Is TURP still the gold standard for BPH?

“TURP has been and probably still is the gold-standard treatment for BPH, but a lot of times, newer procedures can match or beat that effectiveness with fewer side effects and fewer problems.”

Is HoLEP better than TURP?

HoLEP was significantly superior to TURP in terms of both Qmax and IPSS at 1-year postoperative follow-up visits. Furthermore, HoLEP patients benefited from less intraoperative bleeding, a shorter catheterization time, shorter hospital stays, and lower transfusion rates.

What is AUA symptom index?

The American Urological Association Symptom Index (AUA-SI) is a 7-item self-report measure used to assess urinary urgency, frequency, and voiding symptoms. From: Guccione’s Geriatric Physical Therapy, 2020.

How do you classify BPH?

BPH was classified according to the degree of IPP using grades 1 to 3. The staging of BPH was performed according to the presence or absence of bothersome symptoms (QOL ≥3) and significant obstruction (PVR >100ml).

When are 5-alpha reductase inhibitors indicated?

The FDA currently has two approved indications for 5-alpha-reductase inhibitors. These conditions include benign prostate hyperplasia (BPH) and androgenic alopecia (male pattern hair loss). While not approved by the FDA, clinicians have used 5-alpha-reductase inhibitors in the management of hirsutism.

What size is considered an enlarged prostate?

A normal prostate volume is approximately 20 cc. An enlarged prostate is >20 cc and may or may not cause urinary symptoms. If it does not cause any symptoms, then it does not need to be treated. Enlarged prostate is not life threatening.

How high can PSA levels go with BPH?

Results: Mean PSA was found to be highest in CaP cases (41.9 +/- 38.7 ng/ml), lower in the BPH cases (13.5 +/- 10.5 ng/ml), while it was lowest in the control subjects (5.7 +/- 4.4 ng/ml).