Men's Health Flashcards
BPH’s medical management begins with:
a selective α1-receptor blocker – doxazosin, terazosin
If patient unable to tolerate selective α1-receptor blockers, then use:
an α1A-receptor subtype – tamsulosin
Maximun dose for terazosin:
terazosin 10 mg daily
Maximun dose for doxazosin:
doxazosin 8 mg daily
Maximun dose for tamsulosin:
tamsulosin 0.8 mg daily
Regarding BPH’s medical management, what would you add if inadequate symptom relief?
5 alpha-reductase – finasteride 5mg daily or dutasteride 0.5mg daily
When would you expect full benefit of an α-blocker
within 4–6 weeks
When would you expect a 5α-reductase inhibitor to result in a noticeable difference in symptoms?
it may take up to 6 months
Potential side effects of α-blockers include:
Retrograde ejaculation
Hypotension (most common)
Intraoperative floppy iris syndrome
Which med given for BPH is known to maybe reduce the overall risk of developing prostate cancer but to increase the risk of developing really bad (high grade) prostate cancer?
finasteride
What’s the most common cause of
acute prostatitis?
E. coli
Name some obstructive flow symptoms.
hesitancy
slow, weak stream
Name some irritative symptoms.
frequency
urgency
nocturia
Penis exam: a tender, erythematous papule with a deep central ulceration as well as some mild, tender lymphadenopathy in the inguinal area… Dx and Tx?
Dx: Haemophilus ducreyi Tx: g ceftriaxone (250 mg IM once), azithromycin (1 g PO once), ciprofloxacin (500 mg PO BID for 3 days), and others
White versus blacks, who has greater chance of suffering testicular cancer?
White males.
*black males have a much lower incidence of testicular cancer than do white males
