Clinical Case Database / Category: Patient Management

Benign prostatic hypertrophy / hyperplasia

Publication details

Amir V Kaisary MA ChM FRCS (London), Kathy Duong
Foundation Years Journal, volume 3, issue 5, p.24 (123Doc Education, London, June 2009)

Abstract

Mr Smith, a 75-year-old retired postman was referred to A&E by his GP unable to pass urine. Mr Smith contacted his GP urgently after he had been unable to pass any amount of urine and feeling as though his "bladder was bursting". This is the first time this has happened. Mr Smith describes a 7-year history of nocturia of >5 episodes per night, poor urinary flow and incomplete emptying of his bladder which have worsened significantly over the past few weeks. On further questioning you find that he is currently being managed as an out-patient by a Consultant Urologist at your hospital for his lower urinary tract symptoms (LUTS). He has no other co-morbidities, no allergies and has been taking an alpha-blocker for the past 5 years which although initially gave some symptom relief, now "makes no difference at all".

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Authors

Amir V Kaisary MA ChM FRCS (London)

Consultant Urological Surgeon and Honorary Senior Lecturer
Royal Free NHS Trust Hospital
Joint Royal free and UCL Medical School
Pond Street
London NW3 2QG

Kathy Duong

Urology House officer (FY1)
Royal Free NHS Trust Hospital
Pond Street
London NW3 2QG

References

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2. Chapple CR. BPH disease management. Eur Urol, 1999, 36(suppl 3):1–6. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10559624&dopt=Abstract
3. Isaacs JT, Coffey DS. Etiology and disease process of benign prostatic hyperplasia. Prostate. 1989, (suppl 2):33–50. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=2482772&dopt=Abstract
4. European Association of Urology, Guidelines on Benign Prostatic Hyperplasia. 2004.
5. Gerber GS, Goldfisher ER, Karrison TG, Bales GT. Serum creatinine measurement in men with lower urinary tract symptoms secondary to benign prostatic hyperplasia. Urology, 1997, 49:697–702. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9145973&dopt=Abstract
6. Resnick M, Ackerman R, Bosch J, Cidre J, Foo K, Frand I. Fifth International Consultation on BPH, in C Chatelain, L Denis, S Foo, S Khoury, J McConnell (eds) Benign Prostatic Hyperplasia. Plymbridge Distributions, 2000, pp. 169–188.http://www.plymbridge.com/
7. Berge V, Eri LM, Tveter KJ. Complications of invasive, urodynamic examinations and prostate biopsies in patients with benign prostatic hyperplasia. Scand J Urol Nephrol, 1995, 172:95–98. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8578262&dopt=Abstract

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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