Benign Prostatic Hyperplasia Pathophysiology

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Benign Prostatic Hyperplasia

Non modifiable factors: Modifiable factors:

- Gender - Heart disease risk factors


- Age - Effects of chronic inflammation
- Heredity - Diet
- Socio-economic factors - Sexual activity
- race - smoking

Decreased testosterone
conversion by 5 alpha
reductase

Increased dihydrotestosterone

Prostate gland
hyperplasia

Hypertrophy of smooth muscle

Increased tissue Increased muscle tone at


constricting the lumen bladder neck and prostate
urethra

Urinary obstruction
Increase strength of
the detrussor muscle
contraction Further growth of
prostate gland angiogenesis

Effective bladder
evacuation Exacerbation of
urethral obstruction
Success/relief (temporary)
Detrussor muscle
becomes overwhelmed

Decrease in force of urinary Detrussor muscle exerts


stream, feelings of an overactive contraction
incomplete bladder
increase daytime voiding
emptying despite urination
frequency, nocturia,
Urge incontinence
urgency

Prostate enlargement
During urination
continues
(dysuria), straining is
present due to
obstruction of urine flow
Bladder outlet
obstruction

Breaks on blood vessels

Decompensating
hematuria
detrussor muscle

Acute urinary retention

Incomplete bladder Renal failure Bladder rupture


emptying

Peritonitis
Uremia
UTI

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