Benign Prostatic Hyperplasia (BPH) in Geriatric Patients (2022)-AAMA Geriatrics ABC Program_Course 1 BPH_eHandbook

AAMA Geriatrics ABC Program_Course 1 BPH_eHandbook_2022

Pdf Summary

The "Benign Prostatic Hyperplasia (BPH) in Geriatric Patients" eHandbook is a comprehensive guide that provides key information for healthcare providers managing older men with BPH. The handbook is structured into several sections:<br /><br />1. **Key Point Summaries**: BPH refers to the non-cancerous enlargement of the prostate gland, prevalent in aging men. About 50% of men in their 50s develop lower urinary tract symptoms (LUTS), which increase up to 90% in their 90s. Symptoms range from mild to severe, potentially leading to urinary retention, bladder issues, and kidney damage.<br /><br />2. **Diagnosis and Risk Factors**: BPH diagnosis involves a thorough medical history, symptom index, physical examination, and laboratory tests, including urinalysis and PSA levels. Risk factors include age, hormonal status, genetics, obesity, inactivity, and erectile dysfunction.<br /><br />3. **Pharmacological Management**: Medications commonly used include:<br />   - **Alpha Blockers**: Used alone or with 5-alpha reductase inhibitors (5-ARIs) to relieve urinary symptoms.<br />   - **5-ARIs**: These shrink the prostate by inhibiting the conversion of testosterone to DHT.<br />   - **PDE5 Inhibitors**: Such as tadalafil, which relaxes muscles in the bladder and prostate.<br />   - **Combination Therapy**: An alpha blocker with a 5-ARI for more effective symptom control.<br /><br />4. **Surgical and Minimally Invasive Procedures**:<br />   - **TURP**: The gold standard for BPH surgery.<br />   - **Alternatives**: Prostatectomy (open, laparoscopic, or robotic-assisted), laser surgeries (PVP, HoLEP), and minimally invasive techniques (TUIP, TUMT, TUEVP).<br /><br />5. **Clinical Practice Tools**: Includes tools like the AUA-IPSS Symptom Index and voiding diaries for assessment and monitoring.<br /><br />6. **Coding Guide**: Provides CPT, ICD-10, and HCPCS codes for procedures related to BPH for accurate medical billing and reimbursement.<br /><br />7. **Fact Sheet**: A downloadable resource summarizing BPH key points, diagnosis, management options, and coding information.<br /><br />The handbook blends clinical guidance with practical tools to aid healthcare providers in delivering optimal care to geriatric patients with BPH.

Keywords

Benign Prostatic Hyperplasia

BPH

Geriatric Patients

Lower Urinary Tract Symptoms

LUTS

Pharmacological Management

Surgical Procedures

Clinical Practice Tools

Diagnosis

Risk Factors