Benign Prostatic Hyperplasia (BPH)

Question 1

its categories of symptoms are

Answer 1

Storage symptoms:

Voiding symptoms

Question 2

Storage symptoms:

Answer 2

Increased daytime urinary frequency, nocturia, urgency, and urinary incontinence

Question 3

Voiding symptoms

Answer 3

Slow urinary stream, splitting or spraying of the urinary stream, intermittent urinary stream, hesitancy, straining to void, and terminal dribbling

Question 4

Medications like __________ may worsen symptoms of BPH.

Answer 4

pseudoephedrine, anticholinergics, and CCBs

Question 5

dx. examination results

Answer 5

made through clinical history of symptoms and a prostate that is diffusely enlarged, firm, and nontender on physical examination

Question 6

what “paraclinicos” would you ask

Answer 6

Obtain a urinalysis to check for urinary tract infection or blood (which could indicatebladder calculi or cancer).

Question 7

The best initial therapy is, examples, function, SE

Answer 7

alpha-1-adrenergic antagonists (terazosin, doxazosin, tamsulosin), which provide immediate therapeutic benefits; the most common side effect is hypotension.

Question 8

what other drugs, examples, function

Answer 8

5-alpha-reductase inhibitors (finasteride, dutasteride) reduce the size of the prostate gland, but patients must be counseled that significant reduction of symptoms can take 6–12 months.

Question 9

Consider surgical management in patients who

Answer 9

have persistent or progressive symptoms despite combination therapy for 12–24 months

Question 10

After perineal trauma, what to do if physical exam finds blood at the urethral meatus and a high-riding prostate.

Answer 10

A kidney, ureters, and bladder (KUB) x-ray followed by a retrograde urethrogram must be conducted prior to any other tests.

The step after urethrogram is a Foley catheter placement