BPH in Hindi Benign Prostatic Hyperplasia, Symptoms, Investigation, Treatment | Dr. Shipra Mishra |

bph treatment Prostate Symptoms in Hindi enlarged prostate, bph treatment, bph lecture in Hindi, bph lecture, prostate gland problem #prostategland #prostategland #prostateproblems #prostatesymptoms #prostateenlargement BPH- Benign enlargement of Prostate (occurs after 50 years) BPH affects both glandular epithelium & connective tissue stroma Links 🔗- for NOTES AND any QUERY CONTACT.. Instagram Id learnwithdrshipra https://www.instagram.com/learnwithdrshipra?igsh=MTIybzJ0d3hpNnQ4NQ%3D%3D&utm_source=qr Whatsapp channel- https://whatsapp.com/channel/0029VagPbFkD8SDvEBrBjt2Q Telegram- https://t.me/learnwithdrshipra Etiology - not known Involuntary hyperplasia-Androgens & Estrogen hormone imbalance (with age TS level drops slowly but fall of estrogen level is not equal) BPH arises from submucosal glands of periurethral transitional zone with stromal proliferation and adenosis (abnormal change in gland) BPH usually involve median or lateral lobe. Clinical features- Frequency- due to cystitis & urethritis Initially less frequent in day time After that more frequent in night time Urgency-due to enlargement of prostate, internal sphincter of urethra is stretched & partly opened Hesitancy- due to infection Hematuria- due to enlarged prostate compresses prostatic venous plexus causing congestion Hydronephrosis- kidney or ureter backpressure Renal failure- due to severe obstruction Stone- due to impaired bladder emptying Retention of urine Pain in suprapubic region & loin due to cystitis & hydronephrosis Tenderness in suprapubic region, with palpable enlarged bladder Urinary infection features- fever, chills, burning micturition Per rectal Examination- Done when bladder empty Consistency- smooth to firm Enlarged lateral lobe can be easily felt Rectal mucosa over prostate freely movable Lab investigation- Blood urea & Serum creatinine Urine microscopic and C/S Urodynamics- urine flow (15-20ml/sec- normal) IVP (intravenous pyelogram)- exclude hydronephrosis USG abdomen- for residual urine Cystoscopy PSA (4ng/ml) Management- If patient present- Acute retention- urethral catheterization if fails then SPC (suprapubic cystostomy) Uraemia- urethral catheterization must that allow kidney to function adequately Serum electrolyte correct Medicinal T/t- mostly preferable when residual urine less then 180ml flow rate grater then 10-15 ml/sec Avoid alcohol Alpha 1 adrenergic blocking agent(Prazosin, Terazocin)- improve urine flow (Reduce bladder neck resistance) 5- alpha reductase Inhibitor- inhibit conversion of testosterone to dihydrotestosterone (contraindicated in obstructive uropathy or carcinoma prostate) Surgical- Indication- Prostatism (frequency, urgency, dysuria) Residual urine grater then 200ml Flow rate less then 10ml/sec Severe complication like Hematuria Hydronephrosis & hydroureter Acute urine retention Stone formation Recurrent infection Surgical Treatment- Trans-urethral resection of the prostate (TURP)- most common Supra- pubic trans vesical Prostatectomy- Abdominal incision Laser treatment- using holmium Copyright Disclaimer under Section 107 of the copyright act 1976, allowance is made for fair use for purposes such as criticism, comment, news reporting, scholarship, and research. Fair use is a use permitted by copyright statute that might otherwise be infringing. Non-profit, educational or personal use tips the balance in favour of fair use. contact info :- Instagram- https://instagram.com/learn_with_dr_shipra?igshid=YmMyMTA2M2Y= Facebook- https://www.facebook.com/profile.php?id=100004627846783 telegram- https://t.me/learnwithdrshipra

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