BPH Case Example: Balanced BPH
HIDEInteractive Transcript
0:00
We're talking about benign prostatic
0:02
hypertrophy and classifying it.
0:05
You've seen examples of balanced hypertrophy,
0:08
anterior hypertrophy in other vignettes.
0:10
And you've heard how we classify
0:13
BPH by the location of enlargement.
0:17
Preurethral type 1, retrourethral type
0:20
2, both equally balanced type 3, and
0:23
pedunculated masses obstructing ureter type 4.
0:26
Now here's a pedunculated
0:27
mass, but it's not a type 4.
0:30
It's an example of balanced hypertrophy.
0:32
In other words, here's the
0:33
urethra coming down like this.
0:35
There's a little slit of it there.
0:37
Behind the urethra, there's enlargement.
0:40
And in front of the urethra, there's enlargement.
0:42
So this one's relatively balanced.
0:45
But the posterior superior component has
0:48
a neck that's narrower than the apex.
0:51
So it's starting to pinch off,
0:53
or it's pedunculated into the
0:54
bladder and may get entrapped.
0:57
This is a problem that is more
0:59
commonly seen in individuals.
1:01
with lobar type 2 enlargement, where the central
1:05
zone of the central gland in the posterosuperior
1:09
quadrant is lobulated, markedly, markedly
1:13
hypertrophied, and sometimes, not in this case,
1:16
This one looks like a finger, but sometimes
1:17
it may even have a cauliflower look to it.
1:20
We have multiple lobes
1:21
coming off one central lobe.
1:24
So this is early pedunculation into the
1:27
bladder, in an example of balanced BPH,
1:31
the so-called type 3 pattern of lobar BPH.
Stephen J Pomeranz, MD
Chief Medical Officer, ProScan Imaging. Founder, MRI Online
ProScan Imaging
© 2024 MRI Online. All Rights Reserved.