By H. A. Guess (auth.), Nicholas A. Romas M.D., E. Darracott Vaughan M.D. (eds.)
For a long time, sufferers who complained of prostatism had just a couple of therapy offerings. The sufferer was once both a candidate for an optional prostatectomy, or the operation used to be deferred until eventually the sufferer grew to become extra symptomatic. the current textual content summarizes the a number of techniques that have develop into on hand to the working towards urologist. Minimally invasive thoughts resembling transurethral incision of the prostate, balloon dilatation, hyperthermia, laser remedy, and prostatic stents are defined. scientific therapy with alpha-blockers, five alpha-reductase inhibitors, and flutamide are addressed via authors who've had broad medical adventure with using those agents.
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Additional info for Alternate Methods in the Treatment of Benign Prostatic Hyperplasia
O none [i]ltime o 2times o [i] 3times AUA Symptom Score 0 0 0 0 o 4times o 5 or more times =sum of questions A1-A7 =____. Fig. 2. American Urological Association (AUA) Symptom Scoring Index (Barry et aI. K. Mebust related to quality of life as affected by the urinary tract problems. The questionnaire has subsequently been disseminated as an instrument to evaluate BPH patients in France and other countries. Initial Evaluation of Patients Patients presenting with symptoms of bladder outlet obstruction, presumably secondary to BPH, must undergo an initial evaluation which would include a focused medical history.
Clinical practice guidelines: National Academy, Washington DC, 52 Glynn RI et aI. (1985) The development of benign prostatic hyperplasia among volunteers in the normative aging study. Am I Epidemiol 121:78 Greene LF (1978) Selecting patients for transurethral prostatic resection. Geriatrics 33 (5):55-60 Greenspan AM et aI. (1988) The incidence of unwarranted implantation of permanent cardiac pacemakers in a large medical population. N Engl J Med 318:158-163 Guidelines for permanent cardiac pacemaker implantation (1964) A report of the Ioint American College of Cardiology/American Heart Association Task Force on Assessment of Cardiovascular Procedures (Subcommittee on Pacemaker Implantation).
1992) The American Urological Association's symptom index for benign prostatic hyperplasia. J Urol (to be published) Barry MJ et aI. (1988) Watchful waiting versus immediate transurethral resection for symptomatic prostatism: the importance of patients preferences. JAMA 259:3010-3017 Birkhoff JD et aI. (1976) Natural history or benign prostatic hypertrophy and acute urinary retention. Urology 7:48-52. Boyarsky S et al. (1977) A new look at bladder neck obstruction by the Food and Drug Administration: guidelines for investigation of benign prostatic hypertrophy.
Alternate Methods in the Treatment of Benign Prostatic Hyperplasia by H. A. Guess (auth.), Nicholas A. Romas M.D., E. Darracott Vaughan M.D. (eds.)