BPH, prostatisis Flashcards
BPH originates in what zones of prostate
- periurethral
- transition zones
BPH can present as what two classes of symptoms
- obstructive: decrease force in urinary stream, urinary hesitancy
- irritative: frequency, urgency, nocturia
tx: BPH
- apha blockers
- acute retention
- type II 5-alpha reductase inhibitors (block conversion of testosterone to dihydrotestosterone
- surgical: TURP
list 4 types of prostatitis
- acute bacterial prostatitis
- chronic bacterial prostatitis
- chronic prostatitis without infection
- symptomatic inflammatory prostatitis
etiology of acute bacterial prostatitis
- ecoli
- klebsiella
- proteus
tx acute bacterial prostatitis
- cipro or levaquin x 4-6 weeks
clinical presentation
- recurrent pelvic, testicle, or rectal pain without evidence of infection
- painful urination or ejaculation
- ED
chronic prostatitis without infection
prostate Ca originates in what zone of prostate
peripheral zone
4 types of urinary incontinence
- urge
- total
- stress
- overflow
uncontrolled loss of urine that is preceeded by a strong, unexpected urge to void
urge incontinence
tx urge incontinence
- anticholinergics
- vesicare
- detrol
looses all urine all of the time
total incontinence
loss of urine associated with increase in intraabdominal pressure (cough, sneeze, exercise)
stress incontinence
people with stress incontinence do not leak in what position
supine, cause: laxity of pelvic floor musculature
chronically distended bladder recieving additional urine, so that intravesical pressure exceeds outlet pressure -> dribble
overflow incontinence
