BENIGN PROSTATIC HYPERPLASIA
- 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
ArticleDate:20050407
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