Benign Prostatic Hypertrophy
Not yet clinically reviewed
This protocol was migrated from the earlier Pharmapedia and Ward Guide apps for educational use. Follow your hospital's own policies and consult seniors when in doubt.
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