Master Benign Prostatic Hyperplasia (BPH) Diagnosis and Treatment with Picmonic for Medicine

The examiner palpates the prostate to examine for nodules and asymmetry. The presence of these suggest prostate cancer and not BPH.

Urinalysis is performed to rule out infection or presence of blood, which indicate other serious pathology that may require treatment.

α₁-antagonists can have immediate benefits by relaxing smooth muscle in the bladder neck, prostate capsule and prostatic urethra.

Tamsulosin is a commonly used alpha 1-adrenergic antagonist. Unlike terazosin and doxazosin it is less likely to lead to hypotension.

This class of medication blocks the conversion of testosterone to DHT and acts to reduce the size of the prostate gland. It takes longer to exert its therapeutic effect compared with alpha 1-adrenergic antagonists.

Finasteride is a commonly used 5-alpha-reductase inhibitor.

Men who develop serious complications, such as hydronephrosis or renal failure may require transurethral resection of the prostate (TURP), surgery to remove the prostate.