Bladder Obstruction

Question 1

causes of bladder obstruction

Answer 1

BPH
urethral stricture
cancer
stones
extrinsic compression
drugs (anticholinergics, nasal decongestants)

Question 2

storage symptoms

Answer 2

frequency
urgency
nocturia

Question 3

voiding symptoms

Answer 3

hesitancy
poor flow
incomplete emptying
dribbling

Question 4

diagnosis of bladder obstruction

Answer 4

PSA
IPSS
FVC
urinalysis

Question 5

surgical options in BPH

Answer 5

transurethral resection of prostate (TURP)

holmium laser enucleation

Question 6

when should you review alpha blockers?

Answer 6

6 weeks

Question 7

adverse of tamulosin?

Answer 7

postural hypotension

Question 8

action of tamulosin

Answer 8

alpha blocker

Question 9

action of finasteride

Answer 9

5-alpha reductase inhibitor

prevents testosterone production

Question 10

triggers for acute urinary retention?

Answer 10

surgery
catheterisation
anaesthesia
medications

Question 11

management of acute urinary retention

Answer 11

catheter

alpha blocker

Question 12

risk post urinary retention

Answer 12

post-obstruction diuresis (>200ml/h)

Question 13

diagnosis of BPH

Answer 13

DRE
PSA
abdo exam
urinalysis 
IPSS, FVC

Question 14

lifestyle management of BPH

Answer 14

avoid caffeine and alcohol
breathing exercises and bladder training
try voiding twice

Question 15

how long do 5-alpha reductase inhibitors take to work?

Answer 15

6 months

Question 16

adverse of finasteride

Answer 16

sexual dysfunction

excreted in semen so use condoms

Question 17

surgical options for BPH

Answer 17

TURP (resectoscope and diathermy loop)
TEVAP/TUVP
holmium laser enculeation
open prostatectomy

Question 18

what to avoid after TURP?

Answer 18

sex and driving for 2 weeks

Question 19

what can happen to the urine post-TURP?

Answer 19

cloudy urine due to semen reflux