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Benign prostatahyperplasi (BPH)

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Sakkunnig:

Definition:
Förstorad prostata till följd av tillväxt av körtelvävnad som ofta leder till symtom.
Förekomst:
Drabbar med stigande ålder i princip alla män men alla behöver inte behandling.
Symtom:
Symtom delas upp i lagringssymtom (till exempel urinträngningar, nokturi) och tömningssymtom (till exempel svag stråle, urinretention). Kan utvärderas med skattningsskalor.
Kliniska fynd:
Palpation av prostatan kan påvisa förstorad prostata och används för att göra andra orsaker mindre sannolika.
Diagnostik:
Vid diagnostiken brukar bedömning av urinsticka, kreatinin och ibland PSA och mätning av resturin ingå.
Behandling:
Behandling består av egenbehandling vid lättare besvär, tillägg av läkemedel vid måttliga besvär och invasiva procedurer vid svårare besvär eller komplikationer.
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  • Jan-Erik Damber, professor och överläkare, Enheten för urologi, Sahlgrenska universitetssjukhuset, Göteborg
  • Remy Waardenburg, specialist i allmänmedicin, Vårdcentralen Hökarängen