Genito-Urinary Symptom Flashcards
1
Q
What is Benign Prostatic Hyperplasia
A
Prostate gland size increased
2
Q
Symptoms of Benign Prostatic Hyperplasia
A
- chronic urinary retention
- difficulty initiating urination
- weak urine stream
- a frequent need to urinate
3
Q
Referral for Benign Prostatic Hyperplasia
A
- present for less than 3 months
- cloudy or bloody urine within 3 months
- fever (can be undiagnosed UTI)
4
Q
What medications are contraindicated in Benign Prostatic Hyperplasia
A
Alpha 1 blockers
- can enhance hypotension
5
Q
Medical conditions that contraindicate Benign Prostatic Hyperplasia
A
- postural hypotension
- heart, kidney or liver problems
- uncontrolled diabetes
- urinary incontinence
- previous prostate surgery
- undiagnosed cloudy/blurred vision
- scheduled surgery for glaucoma or cataract
6
Q
OTC treatment and age range for Benign Prostatic Hyperplasia
A
Tamsulosin (flomax relief)
- men 45 to 75 years
7
Q
Supply criteria for tamsulosin OTC
A
- symptoms for >= 3 months
- initially give only 2 week supply
- give further if there is improvement after first course
8
Q
Side effects of Tamsulosin
A
- Drowsiness
- Dizziness
9
Q
How to take tamsulosin
A
ONE 400mg capsule whole after same meal each day
10
Q
Advice for Benign Prostatic Hyperplasia
A
- after 6 weeks see doctor if it s appropriate to continue
- every 12 months see doctor for a review to enable further OTC supply
- does not increase risk of prostate cancer
