bladder outflow obstruction Flashcards
1
Q
causes of bladder outflow obstruction
A
- urethral structures
- benign prostatic hyperplasia
- prostate cancer
- bladder stones
- extrinsic
- drugs like antocholinergics and nasal decongestants
2
Q
what are the two main groups of LUTS
A
- storage
- voiding
3
Q
symptoms of storage LUTS
A
when bladder is filling with urine
- frequency
- urgency
- nocturia
FUN
4
Q
voiding LUTS symptoms
A
when patient is trying to pass urine
- poor flow
- intermittent flow
- straining
- sensation of incomplete emptying
- hesitancy, post-micturition dribbling
5
Q
red flag signs
A
- haematuria
- suprapubic pain, burning micturition
- recurrent UTIs
if present suspect bladder cancer
6
Q
what does a Qmax of <10mls/s mean
A
probability of obstruction
7
Q
what does an anticholinergic do
A
inhibits bladder smooth muscle contraction
8
Q
what does a beta agonist do
A
inhibits bladder smooth muscle contraction
9
Q
causes of BOO
A
- primary bladder neck obstruction
- urethral strictures
- meatal stenosis
- vesical calculi
- malignancy
