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. 2014 Apr;30(2):208-13.
doi: 10.4103/0970-1591.127856.

Management of the complications of BPH/BOO

Mark J Speakman  1 , Xi Cheng  1
Affiliations

Management of the complications of BPH/BOO

Mark J Speakman et al. Indian J Urol. 2014 Apr.

Abstract

Most men will develop histological BPH if they live long enough. Approximately, half will develop benign prostatic enlargement (BPE) and about half of these will get BOO with high bladder pressures and low flow, this in turn leads to detrusor wall hypertrophy. Many of these men will only have lower urinary tract symptoms (LUTS) but a significant number will also suffer the other complications of BPH. These include urinary retention (acute and chronic), haematuria, urinary tract infection, bladder stones, bladder wall damage, renal dysfunction, incontinence and erectile dysfunction. Recognition of the complications of BPH/BOO early allows more effective management of these complications. This is particularly important for the more serious urinary infections and also for high-pressure chronic retention (HPCR). Complications of LUTS/BPH are very rare in clinical trials because of their strict inclusion and exclusion criteria but are more common in real life practice.

Keywords: Bladder calculi; renal dysfunction; urinary retention; urinary tract infection.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
The causes of LUTS and their potential complications are multifactorial
Figure 2
Figure 2
Some of the associations and links between the complications of LUTS AKI-Acute kidney Injury, CKD- Chronic kidney disease, ED- Erectile dysfunction, UTI-Urinary tract infection
Figure 3
Figure 3
Management of AUR adapted from O Kalejaiye and MJ Speakman[16], TURP Transurethral resection of the Prostate
Figure 4
Figure 4
Management of CUR adapted from O Kalejaiye and MJ Speakman[16], LTC Long term catheter, CISC clean intermittent self catheterisation, TURP Transurethral resection of prostate
See this image and copyright information in PMC

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