1. 1 | P a g e Benign Prostatic Hyperplasia (BPH) , Benign Prostatic Hyperplasia (BPH) - , , -, ... Androgens ( ) (Castration) ( ) , (DHT), , 5- -2 (DHT) , ... ... (Autocrine) (Paracrine) ... (Receptors) Growth Factors ( ) (Transcription Signal) ... 10 ... (Nodular Hyperplasia) 5- ...

2. 2 | P a g e - Stretching or Irritation ( ) - , 40 25% , , (Dynamic) -1 (Hypertrophy) -1 -1 1A 1D 1A 1D 1A 1D (Poor Libido), (Irrectile Dysfunction), - (Urethera) (Symphysis Pubis) , ( ) 3. 3 | P a g e - , Incontinence of Urine ( ) (Residual Urine) (Chronic Urinary Retention) - , () - ( ) - 2% (Concentration) (Crystal Precipitation) - , - (Hematuria) (Acinar) - - 5- ( Finasteride) - , () (Detrusor Instability) 15 ( 300 ) (Detrusor Instability) , , , - 4. 4 | P a g e -1 (-1 ) , - ( ) - 1D 1A 13.6% (Digital Rectal Examination) - (PSA) , ... , ... ... 1.5ng/m 5 - ... PSA ratio ... ... ... ... , ... ... 5. 5 | P a g e (Urinary Flow Rate) (Post-void Residual Urine Volume) 300 .. , , (Intra Venous Pyelography) Transrectal Ultrasound Scanning (TRUS) , , (Urodynamics) , , , , , , 6. 6 | P a g e (Cystoscopy also called Urethrocystoscopy) - , Differential Diagnosis (Symptom scores), (Uroflowmetry), (Prostatic Volume on DRE or TRUS) .. (Biochemical) , , -, -, , , , - (relax) , , , , - (Retrograde Ejaculation) , 5 ... ( ) ( ), (Retrograde Ejaculation) 7. 7 | P a g e , ( ) Medical Treatment of BHPFinasteride 5 mg HSDutasteride 0.5 HSTab FINAST Tab FINCAR Tab CONTIFLOCap DURIZE Tab VELTRIDETerazosin start with 1 mh HS increase up to 10 mgTab TERAPRESS Tab HYTRINTamsulosin 0.4 to 0.8 mg HSTab URIMAX Cap DYNAPRES Tab VELTAMTab ODCONTIFLO OD F Cap URIMAX F Tab VELTAM F Cap FINAST T Cap URIMAX FTab VELTAM PLUS Cap DUTAS-TAlfuzosin 10 mg HSTab FLOTRALTab ALFUSIN DDoxazosin 1, 2 & 4 mg Dose 1to 8 mg HSTab DOXACARD Tab DURACARDHerbalCap ProstanormHS = at bed time - - - , , , - - Retrograde Ejaculation ( ), Incontinence ( ) ( ) - (TURP) - 8. 8 | P a g e , (TUIP or TIP) - - (Open prostatectomy) , - - (Minimally invasive treatments) , -(Laser Surgery) ( - ) (Ablative Procedures) ( ) 9. 9 | P a g e (Enucleative Procedures) - - Holmium laser ablation of the prostate (HoLAP) Visual laser ablation of the prostate (VLAP) Holmium laser enucleation of the prostate (HoLEP) Photoselective vaporization of the prostate (PVP) , , , Transurethral microwave thermotherapy (TUMT) , Transurethral needle ablation (TUNA) , - (TUMT) ( ) 10. 10 | P a g e Prostatic stents , , 4-6 - (Irritate) (Decongestants or Antihistamines) 4-6 , , (), , , , - - (Saw Palmetto) - - (Ryegrass Extract) (Stinging Nettle Extract) 11. 11 | P a g e , , , , , - , , - 5-