HBP criterios derivación

CRITERIOS DE DERIVACIÓN EN HIPERPLASIA BENIGNA DE PRÓSTATA PARA ATENCIÓN PRIMARIA RAFAEL SÁIZ GARCÍA. C.S Calvià

Antecedentes ,[object Object],[object Object]

Antecedentes(II) ,[object Object],[object Object],[object Object]

Antecedentes(III) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Prevalencia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Factores de riesgo ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Diagnostico diferencial ,[object Object],[object Object],[object Object]

Anamnesis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anamnesis(II) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anamnesis(III) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anamnesis(IV) ,[object Object],[object Object],[object Object],[object Object],Síntomas irritativos * Síntomas obstructivos Polaquiuria Dificultad inicial Nicturia Chorro débil/lento Urgencia miccional Goteo posmiccional Incontinencia de urgencia Micción intermitente Dolor suprapúbico Vaciado incompleto

Anamnesis(V) ,[object Object],[object Object],[object Object],[object Object]

IPSS VARIABLES: Cuatro Obstructivas y Tres Irritativas de 0 – 5 Puntuación : 0 – 35 CALIDAD de VIDA 0 – 6

IPSS(II) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

IPSS(III) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Exploración física ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Analítica de orina y sangre ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PSA PSA> 10 ng/ml Biopsia guiada por ecografía PSA 4 - 10 ng/ml PSA libre/total ↑ de PSA 0,75 ng/ml al año Biopsia Inhibidores de la 5- αreductasa X 2 la cifra de PSA

PSA(II) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pruebas complementarias: ecografía abdominal ,[object Object],[object Object],[object Object],[object Object]

Eco abdominal(II) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pruebas complementarias: ecografía transrectal ,[object Object]

Tratamiento de la HBP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tratamiento farmacológico ,[object Object],[object Object],[object Object],[object Object],[object Object]

Bloqueadores alfaadrenérgicos ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Bloqueadores alfaadrenérgicos(II) ,[object Object],[object Object],[object Object],[object Object],Bloqueadores α-1 y α-2 Fentolamina, fenoxibenzamina Bloqueadores selectivos α-1 Doxazosina, prazosina, terazosina Bloqueadores selectivos α-1A Alfuzosina y tamsulosina

Inhibidores de la 5- α-reductasa ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Inhibidores de la 5- α-reductasa(II) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Inhibidores de la 5- α-reductasa(III) ,[object Object],[object Object],[object Object],Disfunción erectil 5-7% Disminución de la líbido 3% Reducción del volumen eyaculatorio o trastonos en la eyaculación 1,5-2% ginecomastia 1,3-3%

Tratamiento combinado ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tratamiento quirúrgico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tratamiento quirúrgico(II) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Técnicas quirúrgicas alternativas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Recomendaciones terapéuticas ,[object Object],[object Object],[object Object],[object Object],[object Object]

Anamnesis(IV) ,[object Object]

Recomendaciones terapéuticas(II) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Criterios de derivación ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Criterios de derivación(II) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Criterios de derivación(III) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HBP criterios derivación

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