Men's Urology + Mental Health

Question 1

alpha blockers:
-example
-action

Answer 1

-tamsulosin
-relax smooth muscle of prostate and bladder neck. Also encourage apoptosis in glandular cells to restore balance of new/old cells

fast action

Question 2

5a reductase inhibitors
-example
-action

Answer 2

-finasteride
-block conversion of testosterone to dihydrotestosterone so less androgenic stimulation, so shrinks prostate

also decreases PSA

Question 3

5a reductase inhibitors side effects

Answer 3

impotence
headaches
flushing

Question 4

alpha blockers side effects

Answer 4

postural hypotension (more so doxazosin)
dizziness

Question 5

risk factors for poor mental health

Answer 5

societal expectations
stress
trauma
relationsjip breakdown
midlife

Question 6

physical causes of erectile dysfunction

Answer 6

atherosclerosis
smoking
diabetes
alcohol
spinal cord injury
meds
prostate gland surgery

Question 7

psychological causes for ED

Answer 7

stress
relationship conflict
depression
anxiety

Question 8

management of ED

Answer 8

CVD risks screening
therapy/counselling

Question 9

treatment of ED

Answer 9

1st
-PDE5 inhibitors e.g. sildenafil (vasodilation)
-vacuum erection devices

2nd
-synthetic prostaglandin analogue

3rd
-penile prostheses