Overview
What BPH Changes
Benign prostatic hyperplasia (BPH) is non cancerous growth of prostate tissue around the urethra.
REx-PN
REx-PN
Benign prostatic hyperplasia (BPH) is non-cancerous growth of prostate tissue around the urethra. The tissue can narrow the bladder outlet, while alpha-adrenergic smooth-muscle tone adds a dynamic component to the obstruction. Prostate size and symptom burden do not always match. Lower urinary tract symptoms (LUTS) may be voiding symptoms such as hesitancy, weak or intermittent stream, straining, prolonged voiding, and terminal dribbling; storage symptoms such as urgency, frequency, nocturia, and urge incontinence; or post-micturition symptoms such as incomplete emptying and post-void dribbling. Persistent obstruction may leave residual urine and contribute to infection, bladder stones, urinary retention, or renal dysfunction. LUTS are not specific to BPH. Infection, prostatitis, stones, malignancy, medication effects, neurogenic bladder, and urethral stricture can produce similar symptoms. Dysuria with fever or rigors, flank pain, gross hematuria, unexplained weight loss, or a new neurologic deficit requires prompt assessment and same-day notification of the physician or nurse practitioner rather than attribution to routine BPH.
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