mark lynch clinical lead urology, croydon university hospital consultant, st george’s hospital...
TRANSCRIPT
Mark Lynch
Clinical Lead Urology, Croydon University Hospital
Consultant, St George’s Hospital
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?
BPH
• Epidemiology: Autopsy– 23% men aged 41-50– 42% men aged 51-60– 71% men aged 61-70– 82% men aged 71-80
• Epidemiology: Clinical– 14% men aged 40-49– 24% men aged 50-59– 43% men aged 60-69– 40% men aged 70-79
BPH
• Epidemiology:– Higher income groups– Western / industrialized countries
• Less common– Alcohol and cirrhosis– Far East (Japan, China, Korea)
BPH
• Assessment– Variability– Symptom score– Quality of life– Drug therapy– Surgery– Examination – neurology– PSA ??
Medical Therapy
• Conservative measures• Bladder diary• Alpha blockers• 5 alpha reductase inhibitors• Combination therapy