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Download Management of Benign Prostatic Hypertrophy (Current Clinical by Kevin T. McVary PDF

By Kevin T. McVary

A concise, updated evaluate of the numerous new treatments to be had for the therapy of benign prostatic hypertrophy (BPH). The authors concisely evaluation the most recent minimally invasive treatments, in addition to time-tested surgical remedies, and overview the scientific cures for BPH, specifically a-adrenergic antagonists, 5-a reductase inhibitors, and their healing combos. extra chapters study the pathophysiology and average background of BPH, its epidemiology, and the urodynamic assessment of decrease urinary tract signs. an ideal reference resource for the practising urologist looking sound suggestions at the top method of his sufferers.

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Extra resources for Management of Benign Prostatic Hypertrophy (Current Clinical Urology)

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10. Abrams P. Objective evaluation of bladder outlet obstruction. Br J Urol 1995;76(suppl):11. 11. Rollema HJ, van Mastrigt R. Improved indication and follow up in transurethral resection of the prostate using the computer program CLIM: a prospective study. J Urol 1992;148:113. 12. Lepor H, Machi G. Comparison of the AUA symptom index in unselected males and females between 55 and 79 years of age. Urology 1993;42:36. 13. , O’Leary MP, et al. The American Urological Association symptom index for benign prostatic hyperplasia.

Using an I-PSS of eight or greater to define the presence of clinical BPH, the overall incidence in this study among all men was 25% (28). However, there were significant Chapter 2 / Definition of BPH 27 differences in the prevalence of BPH when alternative definitions were used. As defined by a symptom score of eight or greater and a prostate volume of more than 30 g, the incidence of BPH in this study was 14%. When also requiring a Qmax of less than 15 mL/s, 12% of men met the criteria used to define the presence of BPH.

Finally, health measurement scales must be responsive to be useful in discriminating among patients who get better, get worse, or remain the same with or without treatment over time (2,15). Based on the criteria described above, the AUA symptom score has been shown to be reliable and valid in the assessment of patients with BPH (7,13). The seven questions that comprise the symptom score address seven separate but related urinary symptoms that are typically 24 Gerber associated with prostatic enlargement in the aging male.

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