Review and update of benign prostatic hyperplasia in general practice

Benign prostatic hyperplasia (BPH) is the most common benign tumour in men. Although men with BPH often need medical or surgical management from a urologist at some point throughout the timeline of their disease, most men are initially assessed and managed by a general practitioner (GP) in the primary healthcare setting.

The aim of this article is to highlight the principles of the pathogenesis, presentation, assessment and management of BPH in a primary care setting.

Between 2009 and 2011, BPH was managed by GPs at approximately 228,000 general practice visits per annum in Australia. Several changes in pharmaceutical agents and surgical intervention have occurred over the past decade. As a result, it is imperative that GPs remain up to date with assessment and management of BPH, are aware of new therapies and understand when to refer to a urologist.

Australian journal of general practice. 2018 Jul [Epub]

Manasi Jiwrajka, William Yaxley, Marlon Perera, Matt Roberts, Nigel Dunglison, John Yaxley, Rachel Esler

BA, MBBS, MPhil candidate, Resident Medical Officer, Urology Department, Royal Brisbane and Women@s Hospital, Brisbane, Qld; Faculty of Medicine, The University of Queensland, Brisbane, Qld; Queensland Institute of Medical Research, Brisbane, Qld. ., MBBS, Resident Medical Officer, Associate Lecturer, Urology Department, Royal Brisbane and Women@s Hospital, Brisbane, Qld; Faculty of Medicine, The University of Queensland, Brisbane, Qld., MBBS, Urology Registrar, PhD candidate, Urology Department, Royal Brisbane and Women@s Hospital, Brisbane, Qld; Faculty of Medicine, The University of Queensland, Brisbane, Qld; Department of Surgery, Austin Health, University of Melbourne, Vic., MBBS, PhD, Urology Registrar and Lecturer, Urology Department, Royal Brisbane and Women@s Hospital, Brisbane, Qld; Faculty of Medicine, The University of Queensland, Brisbane, Qld., MBBS, Consultant Urologist, Urology Department, Royal Brisbane and Women@s Hospital, Brisbane, Qld., MBBS, Consultant Urologist, Associate Professor, Urology Department, Royal Brisbane and Women@s Hospital, Brisbane, Qld; Faculty of Medicine, The University of Queensland, Brisbane, Qld., MBBS, Consultant Urologist, Director of Unit, Urology Department, Royal Brisbane and Women@s Hospital, Brisbane, Qld.