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Prostatic Hyperplasia, Benign (BPH)

Michael T. Partin, MD and Sahel Uddin, DO Reviewed 06/2022
 


BASICS

  • Benign prostatic hyperplasia (BPH) is due to proliferation of both smooth muscle and epithelial cell lines of the prostate which causes increased prostate volume and may lead to compression of ...

DIAGNOSIS

HISTORY

  • Evaluate symptom severity with the American Urological Society Symptom Index (AUA-SI) or the International Prostate Symptom Score (IPSS)

  • Screen for other causes such as infection, proc...

TREATMENT

GENERAL MEASURES

  • Treatment ranges from watchful waiting to lifestyle modifications, medications, or surgical management.

  • Mild symptoms (score of <7) or moderate symptoms (score 8-15) on IPS...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • DRE yearly in patients who choose watchful waiting

  • PSA yearly in patients who choose watchful waiting: should not be checked while patient is in ...

REFERENCES

1
McVary KT, Roehrborn CG, Avins AL, et al. Update on AUA guideline on the management of benign prostatic hyperplasia. J Urol. 2011;185(5):1793–1803.
2
Pearson R, Williams PM. Common question...

ADDITIONAL READING

  • American Urological Association. American Urological Association guideline: management of benign prostatic hyperplasia (BPH). http://www.auanet.org. 

  • ...

CODES

ICD10

  • N40.0 Enlarged prostate without lower urinary tract symptoms

  • N40.1 Enlarged prostate with lower urinary tract symptoms

SNOMED

  • 266569009 Benign prostatic hyperplasia (disorder)

  • 444808002 Benign ...

CLINICAL PEARLS

  • Although medical therapy has changed the management of BPH, it has only delayed the need for TURP by 10-15 years, not eliminated it.

  • Urinary retention, obstructive uropathy, recurrent U...

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