## **Core Concept**
The question assesses knowledge of indications for Transurethral Resection of the Prostate (TURP) in the context of Benign Prostatic Hyperplasia (BPH). TURP is a surgical procedure often considered for patients with BPH who have not responded to medical therapy or have specific complications.
## **Why the Correct Answer is Right**
TURP is indicated for BPH patients with certain complications or when medical management fails. The indications include:
- **Urinary flow rate less than 10cc/second**: This indicates obstructive symptoms severe enough to warrant intervention.
- **Residual volume of urine > 100cc**: Suggests urinary retention and possible bladder decompensation.
- **Trabeculated urinary bladder**: Indicates chronic obstruction leading to bladder changes.
## **Why Each Wrong Option is Incorrect**
- **Option A:** Incorrect because while some of these could be indications, not all listed conditions are explicitly mentioned as indications for TURP in standard guidelines.
- **Option B:** This seems partially correct but let's evaluate all options.
- **Option C:** This option likely includes a combination that matches known indications for TURP.
- **Option D:** Without evaluating each condition's relevance, we cannot assume its correctness.
## **Clinical Pearl / High-Yield Fact**
A key clinical pearl is that **elevated Prostate-Specific Antigen (PSA) levels** are not an absolute indication for TURP but rather a marker for potential prostate cancer, necessitating further evaluation. The decision for TURP is primarily based on symptoms and complications of BPH.
## **Correct Answer:**
To accurately choose, let's assume based on standard practices:
- A urinary flow rate 10 ng/ml (assuming mmol/liter was a typo) suggests potential cancer, not directly an indication for TURP for BPH.
Given typical indications and assuming standard units and implications:
**Correct Answer: C.**
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
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