Prostate Disorders Flashcards
Benign Prostatic Hyperplasia Medical Treatment
α-blockers: Primarily for symptomatic relief
5-α-Reductase inhibitors: Reduces prostate size (efficacy restricted to patients with larger prostates)
Anticholinergics: Reduces irritative voiding symptoms
PDE-5 inhibitors (Cialis): Symptomatic relief and ED
Alternative Therapies: Saw Palmetto
Most common surgical procedure for BPH
Transurethral Resection of the Prostatectomy (TURP)
**Retrograde ejaculation resulting in infertility is a common complication
Simple Prostatectomy
For large prostates to big for TURP
Patients with BPH and bladder stones
Longer stay in hospital and higher chance of blood loss
*Operations for BPH leave a small amount of residual prostate tissue, risk for future malignancy is the same
Acute Bacterial Prostatitis Treatment
trimethoprim-sulfamethoxazole (Bactrim or Septra), fluoroquinolones (Floxin or Cipro), tetracycline or a tetracycline derivative such as doxycycline – for at least 4 weeks
Chronic Bacterial Prostatitis bacterial culprits
Gram negative rods (E.Coli #1)
Prostatodynia
Noninflammatory disorder of the prostate Includes voiding dysfunction and pelvic floor muscle dysfunction Presentation: Symptoms similar to chronic prostatitis No history of UTI Hesitancy and stop/start of urinary flow