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Stages of Wang and Foo for Benign Prostate Hyperplasia (BPH)

Description

Wang and Foo reported a staging system for benign prostate hyperpalasia (BPH), This can hellp to tailor treatment for the individual patients. The authors are from Chongqing Medical University and Singapore General Hospital.


Patient selection: male with benign prostate hyperplasia

 

Parameters:

(1) bothersome symptoms, with Quality of Life index> 3

(2) postvoid residual urine volume in mL

(3) complications (bladder stones, recurrent UTI, recurrent gross hematuria, gross retention)

 

Quality of Life

Postvoid Residual Volume

Complications

Stage

no bothersome symptoms

not significant (<= 100 mL)

no

I

bothersome symptoms

not significant

no

2

NA

significant (> 100 mL)

no

3

NA

NA

yes

4

 

 

Stage

Treatment

I

observed

2

pharmacotherapy first, then TURP if persistent

3

consider TURP

4

undergo TURP

 

In addition, thedegree of intravesical prostatic protrusion (IPP) was graded.

 

Protrusion

Grade

<= 5 mm

1

5.1 to 10 mm

2

> 10 mm

3

 


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