The Enlarged Prostate: Benign Prostate Hyperplasia / Hypertrophy, LUTs
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The Enlarged Prostate: Benign Prostate Hyperplasia / Hypertrophy, LUTs
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This episode provides a high-yield, evidence-based review of the assessment and management of Lower Urinary Tract Symptoms (LUTS) secondary to Benign Prostatic Hyperplasia (BPH), a condition managed by Australian GPs on over 200,000 occasions annually.
Core Concepts and Initial Assessment:
- Terminology
- Voiding Vs Storage Sx
- Assessing severity with I-PSS
- Assessment
Pharmacological Management: Mechanisms and Trials:
- Alpha Blockers (Dynamic Component)
- 5-alpha-reductase inhibitors (5-ARIs) (Static Component)
- Combination therapy
- Adverse effects (including floppy iris syndrome)
Referral Triggers and Surgical Pathways:
- TURP
- MIPs
- Prostate Urethral Lift (UroLift)
- Water Vapour Therapy (Rezum)
- HoLEP (Holmium Laser Enucleation of the prostate)
This podcast will equip you with the practical knowledge necessary to counsel patients effectively, initiate appropriate medical management, and understand when specialist surgical referral is required.
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