BPH in Hindi Benign Prostatic Hyperplasia, Symptoms, Investigation, Treatment | Dr. Shipra Mishra |
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- Опубликовано: 7 сен 2024
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BPH-
Benign enlargement of Prostate (occurs after 50 years)
BPH affects both glandular epithelium & connective tissue stroma
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Etiology - not known
Involuntary hyperplasia-Androgens & Estrogen hormone imbalance
(with age TS level drops slowly but fall of estrogen level is not equal)
BPH arises from submucosal glands of periurethral transitional zone with stromal proliferation and adenosis (abnormal change in gland)
BPH usually involve median or lateral lobe.
Clinical features-
Frequency- due to cystitis & urethritis
Initially less frequent in day time
After that more frequent in night time
Urgency-due to enlargement of prostate, internal sphincter of urethra is stretched & partly opened
Hesitancy- due to infection
Hematuria- due to enlarged prostate compresses prostatic venous plexus causing congestion
Hydronephrosis- kidney or ureter backpressure
Renal failure- due to severe obstruction
Stone- due to impaired bladder emptying
Retention of urine
Pain in suprapubic region & loin due to cystitis & hydronephrosis
Tenderness in suprapubic region, with palpable enlarged bladder
Urinary infection features- fever, chills, burning micturition
Per rectal Examination- Done when bladder empty
Consistency- smooth to firm
Enlarged lateral lobe can be easily felt
Rectal mucosa over prostate freely movable
Lab investigation-
Blood urea & Serum creatinine
Urine microscopic and C/S
Urodynamics- urine flow (15-20ml/sec- normal)
IVP (intravenous pyelogram)- exclude hydronephrosis
USG abdomen- for residual urine
Cystoscopy
PSA (4ng/ml)
Management-
If patient present-
Acute retention- urethral catheterization if fails then SPC (suprapubic cystostomy)
Uraemia- urethral catheterization must that allow kidney to function adequately
Serum electrolyte correct
Medicinal T/t- mostly preferable when residual urine less then 180ml
flow rate grater then 10-15 ml/sec
Avoid alcohol
Alpha 1 adrenergic blocking agent(Prazosin, Terazocin)- improve urine flow (Reduce bladder neck resistance)
5- alpha reductase Inhibitor- inhibit conversion of testosterone to dihydrotestosterone (contraindicated in obstructive uropathy or carcinoma prostate)
Surgical-
Indication-
Prostatism (frequency, urgency, dysuria)
Residual urine grater then 200ml
Flow rate less then 10ml/sec
Severe complication like Hematuria
Hydronephrosis & hydroureter
Acute urine retention
Stone formation
Recurrent infection
Surgical Treatment-
Trans-urethral resection of the prostate (TURP)- most common
Supra- pubic trans vesical Prostatectomy- Abdominal incision
Laser treatment- using holmium
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Very nice presentation of lecture ma'am, I'm final proff MBBS student and I learned lot of from your lecture.
Thankyou so much ma'am 👍👍
😊
Mam I am from Pakistan and very impressed from your way of Teaching...
My your way of teaching is so nice...... thank you ❤❤
Thanks ma'am ❤❤
Ye mot sochiye like nahi kia....like kia to like video me a jate isliye nahi kia..... Borna video bohot helpful he .... thanks for your efforts
Love ur topis mam and love ur art if understanding.......nyc.
Thank you, Very Easy way of explaining
Thankyou☺️
Nice Explanation Respected ma'am 🙏🙏🙏🙏🙏
Tysm so mch ma'am
Wonderful clears all the doubts
TQ
Well explained Thanks 👍
Thank you mam
Thank you so much ma'am
Thank you boss 🙌🏻❤️
Thank u mam... very helpful video
Excellent bhut achha samjhaya aapne
Thnkx
I prepare my prsentation this video❤❤ thanks
Very nice video mam good teaching quality way of explanation is easy make mare videos mam
You are excellent
Very nice information video
Thanks
Welcome
Nice job 👍
Nice video boss
Thnkx junior surgeon
Thank u
To my ostomy and ectomy i want to know
tqssm keep going
🤩
Thanku ❤️
Mam..in etiology you says that decrease testosterone or ambalanc between estrogen and testosterone cause bph.,....but in medical Rx you say give 5 alpha reductase inhibitor.... which decrease the active form of testosterone...... plz elaborate
I never recommend medicine on social media… its not ethical…. But thankyou sir
Please more video upload mam
Please explain deeply and explain every term
don't just read the PPT
I explained almost each and every new term… i thought who is reading bph on youtube those student already know about prostate n basic terms
Pathogenesis likhna nhi hota h kya surgery k exam me .. !?
What is ostomy?
Ostomy word originate from anastomosis
How long proscar be taken for bph
Depend on condition
I have mild BPH, taking prostaguar d 8 once daily, side effect is while ejaculation sperm is not coming out rather going back inside, will ejaculation be normal automatically after treatment or remain problamatic like now, Age( 37).
Please mam reply,For this answer I watched your video Thanks!
Mam मैंने 9 महीना पहले कुत्ते का वैक्सीन कोर्स कंप्लीट किया था सर मुझे इस समय एक कुत्ते ने मेरे जख्मों पर चार्ट दिया मुझे सिर्फ डर लगने लगा है वह भारी कुत्ता था इसलिए मैंने जाकर कंप्लीट कोर्स करवा लिया मुझे पता नहीं था कि बूस्टर डोज लगता है सर कोई प्रॉब्लम नहीं होगा भविष्य में मुझे इससे मुझे डर लग रहा है
Dekho risk to km h agr vaccination proper hua h to
Or sbhi dogs ko rabies nhi hota h so cool down wo dog jinda h kya abhi bs wo dekh lena
@@learnwithdrshipra मैं मुझे दो वैक्सीन लगवाना था बूस्टर dose मैंने चार वैक्सीन लगवा लिया है मुझे बस यही डर है कि कहीं vacssinकाover dose कोई दिक्कत नहीं ना करेगा मुझे इसका जवाब चाहिए
Over dose kisne lga diya apko dr dose dekhkr lgate h apke khne se to extra nhi lga skte
@@learnwithdrshipra मेरे कहने का मतलब है कि मैंने 9 महीना पहले वैक्सिंग कोर्स कंप्लीट किया था मुझे एक कुत्ते ने खाली मेरे जख्मों पर आकर चार्ट दिया जितनी ज्यादा ocd rebis ki है कि मैंने जाकर वैक्सिंग दो की जगह 4 लगवा लिया बताना चाहिए था कि सर इसके पहले मैंने वैक्सीन कोर्स कंप्लीट किया है
❤❤
Mam fracture pr video bna djye please
Jldi hi aayega
Mam or topic ki vidio bnaiye
Ha
My median lobe is slight enlarged. Size is 35 g. Taking proscar for 7 weeks. What is min duration of treatment.please reply.
Mam kidney pr bnai
👍🏻
Thank you
Madam my p gland 44cc and psa is 6.5 is it danger level?
Your age
@@learnwithdrshipra Mam 59 years
Psa level is high so go for other investigations as well
@@learnwithdrshipra Thanking you
নিজের মতো চলার কারণেই এ ধরনের ঘটনা ঘটেছে বলে মনে হয়। এ জন্য সামাজিক নিয়ম এর ভিতরে স্বাভাবিক বাবা মায়ের সুশিক্ষা মাধ্যমে জীবন জাপান করা উচিত্।
mam bph operation mai koi disadvantages bhi hota hai
No
Patient age?
Fracture pr
Maam aur lecture bnaye
Bilkul or topics jldi hi available honge
@@learnwithdrshipra thankuu Maam🥰🥰
Flow rate 10-15 ml se jyada hoga apne kha Kam h
Madam ji thoda slow reading me mam ji
Vishal ksp sher up se ji
Apne surgery ko explain nhi Kiya h
This girl has biceps, maybe she does weightlifting in the gym.
Psycho
tu padhne hi aya tha na?
Thankyu so much Maam