Male Repro and breast issues Flashcards
Which drugs should be avoided for BPH?
decongestants and anticholinergics
diet changes for BPH
decrease caffeine, artificial sweeteners, limit spicy foods
What are the two drug classes used for BPH treatment
5-alpha reductase and alpha-adrenergic blockers
Meds for BPH
Avodart, Proscar, Cardura, Hytrin, and Flomax
side effects of 5 alpha drugs
decreased libido, ED, otrho hypotension with ED drugs
**Dont let women handle the tablets
4 types of minimal invasive treatment for BPH
TUNA, TUMT, Laser prostectomy, and urethral stents
Catheter types for pre op TURP
Coude (curved tip) and possible filiform catheter
What is the rate of infusion for bladder irrigation based on?
Based on color of drainage (should be light pink with NO clots)
What do you want to make sure of pre-op TURP
Restore urinary drainage, force 2-3L of fluid, and treat any UTI
How can you prevent post-op bladder spasms
Pt not pee around catheter, check catheter for clots, antispasmotics, belladona and opium suppositories
How long are blood clots expected for after TURP
24-36 hours
How often should you urinate after sent home from TURP
q 2-3 hours to flush urinary tract
Two types of radiation therapy for prostate cancer
external beam and brachytherapy
When do you use careful watching for prostate cancer
life expectancy is less than 10 years, or low grade/low stage tumor
when do you use prostatectomy?
Stage B or C
external beam therapy
most common. Has to come in 5 days a week for 4-8 months
What stage do you treat with brachytherapy
A or B
Hypospadius
meatus located on ventral surface of penis
Epispadius
meatus located on dorsal surface of penis
priaprism
erection for longer than 6 hours
Peyronie’s disease
Curved or crooked penis
Cryptochidism
undescended teses
How long do you need to use contraception for after a vasectomy
6 weeks
Common causes of ED in middle-aged men
Diabetes, HTN, renal and CV dz
