Urinary retention Flashcards
1
Q
Acute retention
A
Catheterisation
2
Q
Chronic retention
A
- Painless
- Often caused by BPH in men
3
Q
Management of retention
A
- Alpha blockers
Alternatives = dutasteride + finasteride
4
Q
Alpha blockers
A
Work by relaxing prostatic smooth muscle.
- Alfuzosin
- Tamsulosin
- Doxazosin
- Terazosin
- Indoramin
5
Q
Alpha blockers - side effects
A
Postural hypotension
- Dizziness
- Fainting
- Blurred vision
- Tachycardia
- Palpitations
Intra-operative floppy iris syndrome
6
Q
Alpha-blockers - CI
A
Postural hypotension
7
Q
Alpha blockers - pt counselling
A
Take first dose at bedtime (due to risk of first-dose postural hypotension)
Driving may be impaired.
8
Q
Finasteride
A
5a-reductase inhibitor
9
Q
Side effects
A
Male breast cancer
- Lumps
- Pain
- Nipple discharge
Depression + suicidal thoughts
10
Q
Finasteride + dutasteride - contraceptions
A
- Both excreted in semen
- Use condom if partner is pregnant or likely to get pregnant
- Women of childbearing age = avoid handling crushed tablets/leaking capsules
11
Q
A
