N40
DESCRIPTION
BPH is a noncancerous (benign) growth of the prostate gland.
May be associated with both obstructive (weak, intermittent stream and urinary hesitancy) and irritative (frequency, nocturia and urgency) voiding symptoms.
Digital rectal examination reveals a uniform enlargement of the prostate.
Urinary retention with a distended bladder may be present in the absence of severe symptoms, therefore it is important to palpate for an enlarged bladder during examination.
GENERAL MEASURES
Annual follow-up with digital rectal examination.
For patients presenting with urinary retention, insert a urethral catheter as a temporary measure while patient is transferred to hospital.
Remove medicines that prevent urinary outflow e.g. tricyclic antidepressants, neuroleptics.
REFERRAL
All patients with suspected BPH.