Senile prostatic hyperplasia

Senile prostatic hyperplasia

Diagnosis:

Old age.

Micturition → Dysuria.

                 → Frequency.  

                 → Urgency.

                 → Nocturnal enuresis may be an early symptom.

Urine retention (acute or chronic).

Late → Renal failure.

Treatment:

Compination of many drugs may be used.

1- Alpha blockers.

         Cardura tab. 1 mg. - 4 mg.

         Dosin tab. 1 mg. – 4 mg.

- Start by 1 mg/day then increased to a maximum 8 mg/day.

2- Other alternatives.

        Tadenan cap. 25 – 50 mg.

        Prosta cap cap. 50 mg.

        Prostacure cap. 50 mg.

Or

        Proscar tab. 1×1.

        Prostat tab. 1×1.

        Prostec tab. 1×1.

        Prostalin supp.

        Decongestyl supp.

3- Anti androgen (lipido is maintained).

        Eulexin tab.

        Androcur tab.

        Diane tab.

NB. Surgery is indicated if:

- Severe increase in frequency and dysuria.

- Acute urine retention not relieved by catheter.

- Chronic renal retention.

- Complications as haematuria – diverticulum – cystitis – back pressure on kidney……