Urinary Retention

Question 1

Urinary retention

Answer 1

Inability to voluntarily urinate

Question 2

May be cause by what kind of blockage? Which medication?

Answer 2

• urethral blockage
• medication - antmsucarinic drugs, sympathomimetics, tricyclic antidepressants

Question 3

Acute

Answer 3

Medical emergency - abrupt development over a period of hours

Question 4

Chronic

Answer 4

Gradual over months, inability to completely empty bowels

Question 5

Benign prosaic hyperplasia

Answer 5

Most common in men - enlarged prostate
Symptoms include urinary retention, urgency, frequency and nocturia

Question 6

Drug treatment - acute urinary retention when do we give an alpha blocker? - in medical emergency

Answer 6

• immediate catherisation due to the pain
• provide an alpha blocker for 2+ days before removing catheter

Question 7

Alpha blocker

Answer 7

Alfuzosin
Doxazosin
Tamsulosin
Terazosin

Question 8

Chronic urinary retention what may be needed long term?
- not medication hinthint* what can not having them cause for the patient??

Answer 8

Catheters used long term
May cause Utis, urethra trauma, Pain and stone formation

Question 9

Benign prostatic hyperplasia alpha blockers do what? Caution for patients with prostaes whtat so we give them

Answer 9

• alpha blocker (relaxes smooth muscle)
• patients with enlarged prostate, raised prostate antigens or at high risk of progression - 5 alpha reductive inhibitor —— finasteride or dutasteride

Question 10

Alpha blocker… avoid in patients that have what? What is micturition syncope?

Answer 10

Avoid if patient has a history of
- micturition syncope
-postural hypotension

Question 11

Alpha blocker SE so when would we advise them to take it??

Answer 11

Dizziness,postural hypotension
- first dose may cause collapse due to hypotensive effect
- take before bed
- lie down if dizziness,fatigue or sweating develops until they feel better

Question 12

5alpha reductase inhibitor can cause what??? - women of child nearing age should avoid what?? Finesteride reports of what??

Answer 12

• breast disorder
• sexual dysfunction
• male cancer reported - report lumps,pain or nipple discharge
• excreted semen - use a condom if partner is pregnant or likely to become pregnant
• women of childbearing potential should avoid handling crushed or broken tabs
• finesteride - reports of depression and rare cases of suicidal thoughts
• stop finesteride immediately and inform healthcare professional