tailieunhanh - Chapter 091. Benign and Malignant Diseases of the Prostate (Part 11)

Benign Disease Symptoms Benign proliferative disease may produce hesitancy, intermittent voiding, a diminished stream, incomplete emptying, and postvoid leakage. The severity of these symptoms can be quantitated with the self-administered American Urological Association Symptom Index (Table 91-2), although the degree of symptoms does not always relate to gland size. Resistance to urine flow reduces bladder compliance, leading to nocturia, urgency, and, ultimately, urinary retention. An episode of urinary retention may be precipitated by infection, tranquilizing drugs, antihistamines, and alcohol. Prostatitis often produces pain or induration. Typically, the symptoms remain stable over time and obstruction does not occur. . | Chapter 091. Benign and Malignant Diseases of the Prostate Part 11 Benign Disease Symptoms Benign proliferative disease may produce hesitancy intermittent voiding a diminished stream incomplete emptying and postvoid leakage. The severity of these symptoms can be quantitated with the self-administered American Urological Association Symptom Index Table 91-2 although the degree of symptoms does not always relate to gland size. Resistance to urine flow reduces bladder compliance leading to nocturia urgency and ultimately urinary retention. An episode of urinary retention may be precipitated by infection tranquilizing drugs antihistamines and alcohol. Prostatitis often produces pain or induration. Typically the symptoms remain stable over time and obstruction does not occur. Table 91-2 AUA Symptom Index AUA Symptom Score Circle 1 Number on Each Line Questi ons to Be Answered Not at All Le ss than 1 Time in 5 Le ss than Half the Time Abo ut Half the Time Mo re than Half the time Alm ost Always Over the past month how often you have had a sensation of not emptying your bladder completely 0 1 2 3 4 5 after you finished urinating Over the past month how often have you had to urinate again less than 2 h after you finished urinating 0 1 2 3 4 5 Over the past month how often have you found you stopped and 0 1 2 3 4