Urinary Retention

Question 1

What can urinary retention be caused by

Answer 1

• Urethral Block
• Medications
• Benign Prostate Hyperplasia (men)

Question 2

Which medication can cause urinary retention

Answer 2

• Antomuscarinics
• Tricyclic Antidepressants

Question 3

What should happen if someone has Acute Urinary retention

Answer 3

Hospital

Question 4

What is chronic urinary retention

Answer 4

can not empty bladder over months

Question 5

How to treat Acute urinary retention

Answer 5

• Catheterisation due to pain
• Start Alpha blocker
• remove catheter when good to

Question 6

How to treat chronic urinary retention

Answer 6

• long term catheter

Question 7

How to treat Benign Prostate Hyperplasia

Answer 7

1st Line:
Alpha Blocker

2nd Line:
5x reductase Inhibitors

Question 8

Examples of Alpha Blockers

Answer 8

• Tamsulosis
• Doxazosin

Question 9

When should you avoid Alpha blockers

Answer 9

• History of Postural Hypotension
• Micturation Syncope (fainting while urination)

Question 10

Side effects of Alpha Blockers

Answer 10

• dizziness
• postural hypotension
• 1st dose fainting due to hypotension

Question 11

When should you take Alpha Blockers

Answer 11

at night

Question 12

Examples of 5x-reducatase Inhibitors

Answer 12

• Finasteride
• Dutasteride

Question 13

Side effects of 5x-reducatase Inhibitors

Answer 13

• depression
• male breast cancer
• sexual dysfunction

Question 14

What should a patient report when taking 5x-reducatase Inhibitors

Answer 14

signs of male breast cancer
- lumps
- nipple discharge
- pain

Question 15

Why do men need to use a condom during sex when on 5x-reducatase Inhibitors

Answer 15

it is excreted in semen

Question 16

What is the caution to women and 5x-reducatase Inhibitors

Answer 16

women of child bearing potential should not handle crushed or broken tablets