Question

A 68 year old male presents to the physician with a complaint of urinary frequency. He states that he has noted increased urgency and frequency for approximately 1 year, but his symptoms have become progressively worse. He states that currently he seems to have the urge to urinate "all the time" and often feels as if he has not completely empty is bladder. He must get up to urinate three or four times each night. In addition, in the last month, he sometimes has post void dribbling. He denies fever, weight loss, or bone pain. His medical history is notable only for hypertension. His family history is negative for malignancies.

On exam, he appears healthy. His vital signs are notable for blood pressure 154/92. Prostate is diffusely enlarged without focal nodule or tenderness.

1. What diagnosis would you make?
2. What factors are known to be responsible for the pathogenesis off this disorder?
3. How would you classify the patients symptoms?
4. What is the mechanism by which this condition causes symptoms?

Answer 1

L2L * What diagnosis Would you make a - According to symptory of patrent the drag nosis is BPH - Benign poostetic Hypertrophy Hyperplasia to occurs when the cells of the prostate gland begin to multiply These additional cells cause your prostate gland to swell, which squeezes- the urethra and limits the flow of wine. * Patho geneits off this disorder & BPH involves the stromal and epithelial elements of the prostate. aassing in the peaturethral and tounsition Zone of the gland The Hyperplasia presumbly results in enlargement of the prostate that may restrict the flow of usine from the bladder

Signs and symptony : Present in patient o frequent or urgent need to - Uninate (2) Increused frequency of unination at night Cnocturia) (3) Difficulty stucting usination (47 Weak urine stream or Istream that stops and starts (5) Dribbling at the end of Unmation C6D Inability to completely empty the bladder