Benign Prostatic Hypertrophy

Benign prostatic hyperplasia—also called BPH—is a condition in men in which the prostate gland is enlarged and not cancerous. Benign prostatic hyperplasia is also called benign prostatic hypertrophy or benign prostatic obstruction.

Clinical features

• Obstructive or irritative voiding symptoms
• May have enlarged prostate on rectal examination
• Absence of urinary tract infection, neurologic disorder, stricture disease, prostatic or bladder malignancy

Investigations

Urine analysis, PSA and US Abdomen and pelvis (especially for prostate size).

Management

• Tab- Tamsulosin (Tamso/Prostreat) 0.4 mg 1 tab PO x OD at night continuous ' OR '
• Cap- Prazosin (Minipress / Prazin) 1-5mg 1 tab PO x OD at night continuous If there is no response and PSA is high, add
• Tab – Finasteride (Genesis) 1 tab PO x OD
• If there is still no relieve, refer the patient to Urologist