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Benign Prostatic Hyperplasia

Created: 7/4/2005



  • The anatomy of the prostate with particular reference to "zones" and to glandular/stromal tissue
  • The embryology of the prostate
  • Growth factors in the prostate
  • The function of prostate and its role in ejaculation and fertility
  • The endocrine control of the prostate
  • The aetiology and pathogenesis of BPH
  • The pathology of BPH
  • The clinical features of BPH - understanding of the concepts of benign prostatic hyperplasia, prostatic enlargement, bladder outflow obstruction and lower urinary tract symptoms; their interrelationship and correlation
  • The role and value of symptom scores in the assessment of patients with lower urinary tract symptoms
  • The appropriate use of investigations and their pitfalls, particularly in relation to flow rate studies and urodynamics
  • Interpretation of flow rates and urodynamic studies in relation to the diagnosis of outflow obstruction
  • The urodynamic nature and pathophysiology of outflow obstruction
  • A familiarity with the urodynamic literature on the relationship between detrusor instability and outflow obstruction. The urodynamic definition of outflow obstruction
  • The inter-relationship between BPH, detrusor instability, detrusor failure and ageing
  • The management of BPH and of bladder outflow obstruction
  • The management of acute and chronic retention of urine and other complications of BPH
  • Standard surgical treatments, particularly transurethral resection of the prostate, and their complications
  • The follow up and the assessment of the results of treatment of bladder outflow obstruction
  • An appreciation of the literature concerning the results of TUR
  • Alternatives to prostatectomy in the treatment of BPH
  • The physiological basis of alpha blockers and 5AR reductase inhibitors showing an understanding of the indications for their use and their valued their value
  • Catheterisation
  • The role of lasers, stents, and other new technology

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