BPH and ED Flashcards
1
Q
Sx of storage issues
A
- urgency
- freq.
- nocturia
- urg incontinence
2
Q
Sx of voiding issues
A
- hestiancy
- poor flow
- intermmitency
- straining
- terminal dribble
3
Q
post - voiding SX
A
- dribble
- incomplete emptying
4
Q
etiology of LUTS
A
multi-factorial, but we’ll concentrate on prostate
5
Q
what are clinical features of BPH (2)
A
results from outlet obstuction and compensatory chances in detrusotr function
- voiding Sx
- due to outflow obs - storage Sx
- due to detrusor overactivity
6
Q
5 possible BPH complication
A
- retention
- incontinence
- hydronephrosis
- infection
- gross hematuria
7
Q
6 parts of BPH work-up
A
- Hx and AUA score
- Phx - DRE
- urinalysis
- Cr to assess renal function
- PSA to rule out malig
- US for post-void resid
8
Q
mgmt for mild Sx
A
watchful waiitng
- lifestyle changes
9
Q
medical mgmt (3)
A
- a-blockers - -osins
- relaxes smooth muscle - 5-a reducase inhibs
- blocks conversion to DHT to reverse growth - tadalfl
10
Q
when to refer
A
- baseline abnormalities on tests
- complications of BPH
- not responding to therapy
- pt pref
11
Q
4 additional tests to do
A
- uroflowmetry
- cystoscopy
- urodynamics
- URT imaging
12
Q
3 surgical Tx
A
- TURP
- open prostatectomy
- minimally invasive - laser
13
Q
3 def. indications for surg
A
- refractory retention
- renal insufficiency
- intolerance/failure of meds
14
Q
def. of ED
A
can’t get erection for 3 months
15
Q
what is physiology of erection
A
stim>NO release> cGMP formation> smooth muscle relax> blood into sinusoids
