Benigh Prostatic Hyperplasia

*Orthostatic hypotension

S/S

• Voiding (Obstructive) Sx
  • Nocturia
  • Straining
  • Urinary retention

American Urological Association Symptom Index (AUA-SI)/International Prostate Symptom Score (IPSS)

Treatment

1. Life style modification + monitoring
2. Medication (blockers)
   • 1st line: Alpha-1 Blocker (-”osin”) → Relax prostate
     • e.g. Tamsulosin (Flomax®)
   • 2ed line: 5 Alpha-Reductase i (-”asteride”) → Shrink prostate
     • Takes longer to show effect
     • Works better on large prostate
3. Procedure
   • TUR Trans-urethral resection of the prostate