Urinary retention

Question 1

What is the treatment for acute urinary retention

Answer 1

Catheterisation

Question 2

What is the most common cause in men

Answer 2

Benign prosthetic hyperplasia

Question 3

Give some examples of alpha blockers

Answer 3

Alfuzosin, Doxazosin, tamsulosin

Question 4

What is the MOA of alpha blockers

Answer 4

Relax smooth muscle and increase urinary flow

Question 5

Can alpha blockers cause drowsiness?

Answer 5

Yes and can reduce BP

Question 6

What syndrome can alpha blockers cause

Answer 6

Floppy iris syndrome

Question 7

What are some contraindications of alpha blockers

Answer 7

Postural hypotension, micturition syncope (fainting on urination)

Question 8

What are some SE of alpha blockers

Answer 8

Dry mouth, diarrhoea, dizziness, headache

Question 9

What is the counselling for alpha blockers

Answer 9

First dose hypotension

Question 10

Apart from alpha blockers, what other medicines are used for urinary retention

Answer 10

5a reductase inhibitors

Finasteride and dutasteride

Question 11

What are some cautions for finasteride and dutasteride

Answer 11

Contraception

Can be excreted in semen

Depression and suicidal thoughts (MHRA)