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Published byMilo Collins Modified over 9 years ago
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Mark Lynch Clinical Lead Urology, Croydon University Hospital Consultant, St George’s Hospital
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Croydon Urology – the future
July 2013 July 2014 M Lynch Consultant Interview Job plan for further Consultant July 2015 SGH integration July 2015+ Urology centre?
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Lower Urinary Tract Symptoms
BPH (50%) Prostate cancer (16%) Other pathology
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BPH
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BPH Epidemiology: Autopsy Epidemiology: Clinical 23% men aged 41-50
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BPH Epidemiology: Less common Higher income groups
Western / industrialized countries Less common Alcohol and cirrhosis Far East (Japan, China, Korea)
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AUA / IPSS Symptom Score
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BPH Assessment Variability Symptom score Quality of life Drug therapy
Surgery Examination – neurology PSA ??
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BPH Complications Renal failure Bladder calculi Infection Incontinence
Retention Haematuria
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BPH Management Watch and wait Pharmacology Surgery TURP - TURiS
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Medical Therapy Conservative measures Bladder diary Alpha blockers
5 alpha reductase inhibitors Combination therapy
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Bladder Diary
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Bladder Diary
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BPH DRE Routine bloods MSU
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AUA / IPSS Symptom Score
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Bladder Diary
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LUTS Advice Medication Review
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CUH – Here to help! LUTS clinic IPSS Flow-rate Information documents
Decision making clinic for surgery Medical management strategy for primary care
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