BPH intern 演示文稿概要1.pptxVIP

Benign Prostatic Hyperplasia(良性前列腺增生) Shanghai Shidong hospital Anatomy of prostate（解剖） Prostate zones（分区） Prostate zones percentage（分区比例） Development of BPH : Early Slide 1 of 3 Development of BPH : Intermediate Slide 2 of 3 Development of BPH : Late Slide 3 of 3 Two factors of etiology aging.BPH is progressive disease when aging. Androgen. The role of dihydrotestosterone (DHT) in the the prostate. Unlike other androgen-dependent organs, prostate maintains its ability to respond to androgens throughout life. Symptoms of BPH（BPH症状） Voiding symptoms（排尿期症状） Hesitancy (difficulty initiating the stream，尿等待) Poor flow (weak and thin steam，尿线细弱) Intermittent stream (starts and stops，尿流中断) Dribbling (drop by drop，尿滴沥) Sensation of poor bladder emptying( willing to pee again in short time，尿不尽感) Episodes of near retention ( can’t void，排尿困难) 排尿期症状图片 Storage symptoms（储尿期症状） Frequency(more than 8 times a day) Nocturia(voiding at night ) Urge incontinence (void in your pants) Nocturnal incontinence(void on bed) Urgency (compelling need to void that cannot be deferred) 储尿期症状图片 Diagnosis of BPH Rectal exmination (palpation of the prostate through the rectum) may reveal a markedly enlarged prostate, usually affecting the middle lobe. 直肠指诊 Blood test rule out prostatic malignancy: elevated prostate specific antigen (PSA) needs further investigations. 血PSA测定 Utrasound examination of the testicles, prostate, and kidneys is often performed, again to rule out stone and malignancy and hydronephrosis. 泌尿系超声检查 Clinical symptom is very important in the diagnosis of BPH. International prostate symptom score (IPSS) is designed to assess the severity of BPH. 国际前列腺症状评分 IPSS Management Lifestyle alterations to address the symptoms of BPH include decreasing fluid intake before bedtime, moderating the consumption of alcohol and caffeine-containing products, and following a timed voiding schedule.（生活方式改变） Voiding position is another influencing factor, for example sitting down while