<div id="pf1" class="pf w0 h0" data-page-no="1"><div class="pc pc1 w0 h0"><img class="bi x0 y0 w0 h0" alt="" src="https://files.passeidireto.com/420f7e09-6625-4bd9-a4af-9447167621fa/bg1.png"><div class="c x0 y0 w1 h0"><div class="t m0 x1 h1 y1 ff1 fs0 fc0 sc0 ls0 ws0">Hiperplasia <span class="blank _0"></span>Prostática <span class="blank _0"></span>Benigna: <span class="blank _0"></span>Manejo </div><div class="t m0 x1 h2 y2 ff1 fs1 fc0 sc0 ls0 ws0">na <span class="blank _1"></span>Atenção Pri<span class="blank _0"></span>mária <span class="blank _0"></span>à Saúde</div><div class="t m0 x1 h3 y3 ff1 fs2 fc0 sc0 ls0 ws0">Celso Mendes V<span class="blank _1"></span>eneza Junior</div><div class="t m0 x1 h4 y4 ff2 fs3 fc0 sc0 ls0 ws0">Médico <span class="blank _0"></span>Residente <span class="blank _0"></span>em saúde <span class="blank _0"></span>da F<span class="blank _0"></span>amília <span class="blank _0"></span>pela FESF-SU<span class="blank _0"></span>S</div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf2" class="pf w0 h0" data-page-no="2"><div class="pc pc2 w0 h0"><img class="bi x0 y0 w0 h0" alt="" src="https://files.passeidireto.com/420f7e09-6625-4bd9-a4af-9447167621fa/bg2.png"><div class="c x0 y0 w1 h0"><div class="t m0 x2 h5 y5 ff1 fs4 fc0 sc0 ls0">INTRODUÇÃO</div><div class="t m0 x2 h6 y6 ff2 fs5 fc1 sc0 ls0 ws1">A<span class="blank _2"> </span>hiperplasia<span class="blank"> </span>prostáti<span class="blank _3"></span>ca<span class="blank"> </span>benigna<span class="blank"> </span>(HPB)<span class="blank"> </span>é<span class="blank"> </span>uma<span class="blank"> </span><span class="ls1 ws2">das<span class="blank"> </span></span><span class="ws3">patologias<span class="blank"> </span>mais<span class="blank"> </span>comuns<span class="blank _4"> </span><span class="ls1">nos</span></span></div><div class="t m0 x2 h7 y7 ff2 fs6 fc1 sc0 ls0 ws4">homens<span class="blank"> </span>a<span class="blank"> </span>partir<span class="blank"> </span><span class="ls2 ws5">da<span class="blank"> </span></span><span class="ws6">quinta<span class="blank"> </span>década<span class="blank"> </span><span class="ls2 ws5">de<span class="blank"> </span></span><span class="ws7">vida,<span class="blank"> </span>podendo<span class="blank"> </span>a<span class="blank _3"></span>ssociar-<span class="ls3 ws8">se<span class="blank"> </span></span><span class="ws9">a<span class="blank"> </span>sintomas<span class="blank"> </span><span class="ls4 wsa">do<span class="blank"> </span></span><span class="wsb">trato</span></span></span></span></div><div class="t m0 x2 h6 y8 ff2 fs5 fc1 sc0 ls0 wsc">urinário<span class="blank"> </span>inferior<span class="blank"> </span>(STUI<span class="blank"> </span><span class="ls1 wsd">ou<span class="blank"> </span></span><span class="wse">LUTS).<span class="blank _5"> </span>A<span class="blank"> </span>doença<span class="blank _5"> </span>costuma<span class="blank _5"> </span>interferir<span class="blank _5"> </span><span class="ls1 wsf">nas<span class="blank"> </span></span><span class="ws10">atividades<span class="blank"> </span>diárias</span></span></div><div class="t m0 x2 h6 y9 ff2 fs5 fc1 sc0 ls0 ws11">e<span class="blank"> </span>até<span class="blank"> </span>mesmo<span class="blank"> </span><span class="ls1 ws12">no<span class="blank"> </span></span><span class="ws13">padrão<span class="blank"> </span><span class="ls1 ws14">do<span class="blank"> </span></span><span class="ws15">sono<span class="blank"> </span><span class="ls1 ws16">dos<span class="blank"> </span></span><span class="ws17">pacientes.</span></span></span></div><div class="t m0 x2 h6 ya ff2 fs5 fc1 sc0 ls0 ws18">O<span class="blank"> </span>quadro<span class="blank"> </span>clínico<span class="blank"> </span>é<span class="blank"> </span>variável,<span class="blank"> </span>podendo<span class="blank"> </span>apresentar<span class="blank"> </span>sintomas<span class="blank"> </span>intermitentes<span class="blank"> </span><span class="ls1">ou</span></div><div class="t m0 x2 h6 yb ff2 fs5 fc1 sc0 ls0 ws19">progressivos.<span class="blank"> </span>Alguns<span class="blank"> </span>paciente<span class="blank _3"></span>s<span class="blank"> </span>apresentam<span class="blank _6"> </span>STUI<span class="blank"> </span>mesmo<span class="blank _7"> </span>sem<span class="blank"> </span>crescimento</div><div class="t m0 x2 h6 yc ff2 fs5 fc1 sc0 ls0 ws1a">expressivo<span class="blank"> </span><span class="ls1 ws1b">da<span class="blank"> </span></span><span class="ws1c">próstata,<span class="blank"> </span>da<span class="blank"> </span>mesma<span class="blank"> </span>for<span class="blank _3"></span>ma<span class="blank"> </span><span class="ls1 ws1b">que<span class="blank"> </span><span class="ls0">algumas<span class="blank"> </span>pessoas<span class="blank"> </span>com<span class="blank"> </span>aument<span class="blank _3"></span>o</span></span></span></div><div class="t m0 x2 h6 yd ff2 fs5 fc1 sc0 ls0 ws1d">prostático<span class="blank"> </span>significativo<span class="blank"> </span><span class="ls1 ws1e">podem<span class="blank"> </span></span><span class="ws1f">permanecer<span class="blank"> </span>oligossintomáticas.</span></div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf3" class="pf w0 h0" data-page-no="3"><div class="pc pc3 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w0 h0" alt="" src="https://files.passeidireto.com/420f7e09-6625-4bd9-a4af-9447167621fa/bg3.png"><div class="c x0 y0 w1 h0"><div class="t m0 x2 h1 ye ff1 fs0 fc0 sc0 ls0 ws0">Hiperplasia <span class="blank _0"></span>Prostática <span class="blank _0"></span>Benigna na <span class="blank _1"></span>APS</div><div class="t m0 x3 h8 yf ff1 fs7 fc2 sc0 ls0 ws20">SINT<span class="blank _8"></span>OMAS</div><div class="t m0 x4 h9 y10 ff1 fs5 fc2 sc0 ls0 ws17">IRRIT<span class="blank _9"></span>A<span class="blank _9"></span>TIVOS</div><div class="t m0 x5 h4 y11 ff2 fs3 fc2 sc0 ls0 ws21">(armazena<span class="blank _0"></span>mento)</div><div class="t m0 x4 ha y12 ff3 fs1 fc2 sc0 ls5">\u2751<span class="ff2 ls0 ws22">Polaciúria</span></div><div class="t m0 x4 hb y13 ff3 fs0 fc2 sc0 ls6">\u2751<span class="ff2 ls0 ws23">Noctúria</span></div><div class="t m0 x4 hb y14 ff3 fs0 fc2 sc0 ls6">\u2751<span class="ff2 ls0 ws23">Hematúria</span></div><div class="t m0 x4 hb y15 ff3 fs0 fc2 sc0 ls6">\u2751<span class="ff2 ls0 ws23">Disúria</span></div><div class="t m0 x4 hb y16 ff3 fs0 fc2 sc0 ls6">\u2751<span class="ff2 ls0 ws0">Urgência miccional</span></div><div class="t m0 x6 h9 y17 ff1 fs5 fc2 sc0 ls0 ws17">OBSTRUTIVOS</div><div class="t m0 x7 h4 y18 ff2 fs3 fc2 sc0 ls0 ws21">(esvaziamento)</div><div class="t m0 x6 hb y19 ff3 fs0 fc2 sc0 ls6">\u2751<span class="ff2 ls0 ws0">Jato <span class="blank _0"></span>fraco e intermitent<span class="blank _0"></span>e</span></div><div class="t m0 x6 hb y1a ff3 fs0 fc2 sc0 ls6">\u2751<span class="ff2 ls0 ws0">Esforço <span class="blank _0"></span>para urinar</span></div><div class="t m0 x6 hb y1b ff3 fs0 fc2 sc0 ls6">\u2751<span class="ff2 ls0 ws0">Dificuldade ou demora <span class="blank _8"></span>pra </span></div><div class="t m0 x8 hb y1c ff2 fs0 fc2 sc0 ls0 ws0">iniciar a micção</div><div class="t m0 x6 hb y1d ff3 fs0 fc2 sc0 ls6">\u2751<span class="ff2 ls0 ws0">Sensação <span class="blank _0"></span>de esvaziamento </span></div><div class="t m0 x8 hb y1e ff2 fs0 fc2 sc0 ls0 ws0">incompleto da <span class="blank _0"></span>bexiga</div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf4" class="pf w0 h0" data-page-no="4"><div class="pc pc4 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w0 h0" alt="" src="https://files.passeidireto.com/420f7e09-6625-4bd9-a4af-9447167621fa/bg4.png"><div class="c x0 y0 w1 h0"><div class="t m0 x2 h1 ye ff1 fs0 fc0 sc0 ls0 ws0">Hiperplasia <span class="blank _0"></span>Prostática <span class="blank _0"></span>Benigna na <span class="blank _1"></span>APS</div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf5" class="pf w0 h0" data-page-no="5"><div class="pc pc5 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w0 h0" alt="" src="https://files.passeidireto.com/420f7e09-6625-4bd9-a4af-9447167621fa/bg5.png"><div class="c x0 y0 w1 h0"><div class="t m0 x2 h1 ye ff1 fs0 fc0 sc0 ls0 ws0">Hiperplasia <span class="blank _0"></span>Prostática <span class="blank _0"></span>Benigna na <span class="blank _1"></span>APS</div><div class="t m0 x9 hc y1f ff4 fs6 fc3 sc0 ls0 ws0">Em crianç<span class="blank _0"></span>as: <span class="ff5 fc2">anormalidades anat<span class="blank _0"></span>ômicas</span></div><div class="t m0 x9 hd y20 ff4 fs5 fc3 sc0 ls0 ws0">Em adult<span class="blank _0"></span>os jov<span class="blank _8"></span>ens: <span class="ff5 fc2 ws24">cálculos</span></div><div class="t m0 x9 hd y21 ff4 fs5 fc3 sc0 ls0 ws0">Em adult<span class="blank _0"></span>os mais v<span class="blank _8"></span>elhos: <span class="ff5 fc2">HPB ou CA de próst<span class="blank _0"></span>at<span class="blank _0"></span>a</span></div><div class="t m0 xa he y22 ff6 fs8 fc2 sc0 ls0 ws0">ETIOL<span class="blank _0"></span>OGIA dos S<span class="blank _0"></span>TUI</div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf6" class="pf w0 h0" data-page-no="6"><div class="pc pc6 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w0 h0" alt="" src="https://files.passeidireto.com/420f7e09-6625-4bd9-a4af-9447167621fa/bg6.png"><div class="c x0 y0 w1 h0"><div class="t m0 x2 h1 ye ff1 fs0 fc0 sc0 ls0 ws0">Hiperplasia <span class="blank _0"></span>Prostática <span class="blank _0"></span>Benigna na <span class="blank _1"></span>APS</div><div class="t m0 xb h6 y23 ff2 fs5 fc2 sc0 ls0 ws0">Retenção urinária</div><div class="t m0 xb h6 y24 ff2 fs5 fc2 sc0 ls0 ws0">Infecção urinária </div><div class="t m0 xb h6 y25 ff2 fs5 fc2 sc0 ls1 ws0">e <span class="ls0">prostatite</span></div><div class="t m0 xb h6 y26 ff2 fs5 fc2 sc0 ls0 ws0">Litíase vesical</div><div class="t m0 xb h7 y27 ff2 fs6 fc2 sc0 ls0 ws0">Insuficiência<span class="blank _0"></span> <span class="blank _3"></span>renal </div><div class="t m0 xb h6 y28 ff2 fs5 fc2 sc0 ls0 ws0">aguda ou crônica</div><div class="t m0 xb h6 y29 ff2 fs5 fc2 sc0 ls0 ws17">Hematúria</div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf7" class="pf w0 h0" data-page-no="7"><div class="pc pc7 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w0 h0" alt="" src="https://files.passeidireto.com/420f7e09-6625-4bd9-a4af-9447167621fa/bg7.png"><div class="c x0 y0 w1 h0"><div class="t m0 x2 h1 ye ff1 fs0 fc0 sc0 ls0 ws0">Hiperplasia <span class="blank _0"></span>Prostática <span class="blank _0"></span>Benigna na <span class="blank _1"></span>APS</div><div class="t m0 xc hb y2a ff2 fs0 fc2 sc0 ls0 ws0">Escore Int<span class="blank _0"></span>ernacional de <span class="blank _0"></span>Sintomas </div><div class="t m0 xd hb y2b ff2 fs0 fc2 sc0 ls0 ws0">Prostáticos <span class="blank _0"></span>(IPSS)</div><div class="t m0 xe hf y2c ff2 fs9 fc2 sc0 ls0 ws0">Leve: < 7</div><div class="t m0 xe h10 y2d ff2 fs8 fc2 sc0 ls0 ws0">Moderado: <span class="blank _3"> </span>8 </div><div class="t m0 xe hf y2e ff2 fs9 fc2 sc0 ls0 ws0">a 19</div><div class="t m0 xe h10 y2f ff2 fs8 fc2 sc0 ls0 ws0">Grave: >20</div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf8" class="pf w0 h0" data-page-no="8"><div class="pc pc8 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w0 h0" alt="" src="https://files.passeidireto.com/420f7e09-6625-4bd9-a4af-9447167621fa/bg8.png"><div class="c x0 y0 w1 h0"><div class="t m0 x2 h1 ye ff1 fs0 fc0 sc0 ls0 ws0">Hiperplasia <span class="blank _0"></span>Prostática <span class="blank _0"></span>Benigna na <span class="blank _1"></span>APS</div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf9" class="pf w0 h0" data-page-no="9"><div class="pc pc9 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w0 h0" alt="" src="https://files.passeidireto.com/420f7e09-6625-4bd9-a4af-9447167621fa/bg9.png"><div class="c x0 y0 w1 h0"><div class="t m0 x2 h1 ye ff1 fs0 fc0 sc0 ls0 ws0">Hiperplasia <span class="blank _0"></span>Prostática <span class="blank _0"></span>Benigna na <span class="blank _1"></span>APS</div><div class="t m0 xf h11 y30 ff7 fsa fc2 sc0 ls0 ws0">Medidas com<span class="blank _0"></span>portamentais</div><div class="t m0 xf h12 y31 ff2 fsb fc2 sc0 ls0 ws0">-<span class="blank"> </span>Redução da inges<span class="blank _3"> </span>ta<span class="blank"> </span>de l<span class="blank _3"> </span>íquidos a noite, redução de <span class="blank _3"> </span>al<span class="blank _3"> </span>cool, café, c<span class="blank _3"> </span>igarro. Exercícios<span class="blank _3"> </span> para treinamento <span class="blank _3"> </span>vesi<span class="blank _3"> </span>cal.</div><div class="t m0 xf h11 y32 ff7 fsa fc2 sc0 ls0 ws0">Bloquea<span class="blank _0"></span>dores <span class="blank _3"> </span>alfa-adrenérg<span class="blank _0"></span>icos</div><div class="t m0 xf h12 y33 ff2 fsb fc2 sc0 ls0 ws25">-<span class="blank"> </span>Prazosina<span class="ls7 ws0">, </span><span class="ws26">T<span class="blank _9"></span>erazosina<span class="ls7 ws0">, <span class="blank _1"></span><span class="ls0 ws26">Al<span class="blank _3"> </span>fuzosina<span class="ls7 ws0">, </span><span class="ws27">Doxazosina<span class="blank"> </span><span class="ls8 ws28">(1</span><span class="ws0">-8mg/dia), <span class="blank _3"> </span>T<span class="blank _9"></span>ansulosina<span class="blank"> </span>(0,4<span class="ls9 ws29">mg</span><span class="ws26">/dia).</span></span></span></span></span></span></div><div class="t m0 xf h11 y34 ff7 fsa fc2 sc0 ls0 ws0">Inibidore<span class="blank _0"></span>s <span class="blank _3"> </span>da 5-alfarreduta<span class="blank _0"></span>se</div><div class="t m0 xf h13 y35 ff2 fsc fc2 sc0 ls0 ws0">-<span class="blank"> </span>Finasterida<span class="blank"> </span>(5mg/dia) <span class="blank _3"> </span>, Dutasterida<span class="blank _a"> </span>(0,4<span class="lsa ws2a">mg</span>/dia)</div><div class="t m0 xf h11 y36 ff7 fsa fc2 sc0 ls0 ws2b">Anticolinérg<span class="blank _0"></span>icos</div><div class="t m0 xf h12 y37 ff2 fsb fc2 sc0 ls0 ws0">-<span class="blank"> </span>Oxibutinina<span class="blank"> </span>(5mg <span class="blank _3"> </span>2 <span class="blank _3"> </span>ou 3x/dia)</div><div class="t m0 xa he y38 ff6 fs8 fc2 sc0 ls0 ws0">Manejo na <span class="blank _3"></span>A<span class="blank _1"></span>t<span class="blank _0"></span>enção Básica</div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pfa" class="pf w0 h0" data-page-no="a"><div class="pc pca w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y0 w0 h0" alt="" src="https://files.passeidireto.com/420f7e09-6625-4bd9-a4af-9447167621fa/bga.png"><div class="c x0 y0 w1 h0"><div class="t m0 x2 h1 ye ff1 fs0 fc0 sc0 ls0 ws0">Hiperplasia <span class="blank _0"></span>Prostática <span class="blank _0"></span>Benigna na <span class="blank _1"></span>APS</div><div class="t m0 x10 h14 y39 ff3 fsa fc2 sc0 lsb">\u2751<span class="ff2 ls0 ws0">Desejo do pacie<span class="blank _0"></span>nte em evitar uso de medicação diária</span></div><div class="t m0 x10 h14 y3a ff3 fsa fc2 sc0 lsb">\u2751<span class="ff2 ls0 ws0">Falha na terapia medica<span class="blank _0"></span>mentosa</span></div><div class="t m0 x10 h14 y3b ff3 fsa fc2 sc0 lsb">\u2751<span class="ff2 ls0 ws0">IRA<span class="blank _1"></span> e/ou IRC</span></div><div class="t m0 x10 h14 y3c ff3 fsa fc2 sc0 lsb">\u2751<span class="ff2 ls0 ws0">Retenção urinária<span class="blank _0"></span> <span class="blank _3"> </span>refratária</span></div><div class="t m0 x10 h14 y3d ff3 fsa fc2 sc0 lsb">\u2751<span class="ff2 ls0 ws0">ITU recorrente</span></div><div class="t m0 x10 h14 y3e ff3 fsa fc2 sc0 lsb">\u2751<span class="ff2 ls0 ws0">Hematúria<span class="blank"> </span>grave (quando<span class="blank _0"></span> associada a HPB)</span></div><div class="t m0 x11 h1 y3f ff1 fs0 fc2 sc0 ls0 ws0">Quando considerar <span class="blank _8"></span>procedimento inv<span class="blank _0"></span>asiv<span class="blank _0"></span>o</div></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div>
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