GU - Male

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Author:
pdorse
ID:
160962
Filename:
GU - Male
Updated:
2012-07-04 12:45:00
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GU Male
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GU - Male
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  1. Benign Prostate Hypertrophy
    • Enlargement of the prostate gland
    • Exerts pressure on the urethra, which prevents complete emptying of the bladder.
  2. TURP
    Transurethral resection of the prostate
  3. Three TURP Techniques
    • TUMA - Transurethral Microwave Thermotherepy
    • TUNA - Transurethral Needle Ablation
    • PVP - Photoselective Vaporization of the prostate
  4. TUMT
    • Transurethral Microwave Thermotherepy
    • One time treatment. Catheter in the bladder allows microwaves to heat and destroy hyperplastic prostate tissue
  5. TUNA
    • Transurethral Needle Ablation
    • Interstitial radiofrequency needles are placed through the urethra and lateral lobes of the prostate causing heat induced coagulation necrosis.
  6. PVP
    • Photoselective Vaporization of the prostate
    • Laser energy is delivered by way of a thin fiber inserted in the urethra through a cystoscopy. GreenLight laser vaporizes the prostate tissue
  7. TURP
    Transurethral resection of the prostate
  8. Four Prostatectomy Techniques
    • Transurethral
    • Suprapubic
    • Radical perineal
    • Retropubic
  9. Transurethral prostatectomy
    A resectoscope is inserted through the through the urethra and bladder.
  10. Suprapubic prostatectomy
    Incision if made in the abdomen and through the bladder and the gland is removed from above
  11. Radical perineal prostatectomy
    Incision is made through the perineum (between scrotum and rectum)
  12. Retropubic prostatectomy
    Incision is made into the abdomen and the capsule encasing the prostate (without cutting in the bladder)
  13. Prostate Cancer
    • Common over 50
    • May have no symptoms until disease is advanced
    • Dx Rectal exam, PSA (prostate specific antigen)normal range 0-4 ng/mL, transrectal ultrasound, bone scan, serum alkaline phosphatase.
    • Medical management- brachytherapy, radical prostatectomy, hormonal depravation therapy, orchiectomy, radiation therapy
  14. Gleason Grading System
    • System used for grading prostate cancer
    • 2-10 used to predict how quickly the cancer will progress
    • 2-4 slow growing
    • 5-7 aggressive tumor 40% chance of metastasis
    • 8-10 aggressive with 75% chance of metastasis

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