UROLOGY

Question 1

Which drugs can induced urinary retention?

Answer 1

tricyclic antidepressants e.g. amitriptyline
anticholinergics e.g. antipsychotics, antihistamines
opioids
NSAIDs
disopyramide

Question 2

What are the three grouped causes of erectile dysfunction?

Answer 2

Organic
Psychogenic
Mixed

Question 3

What factors indicate an organic cause of ED?

Answer 3

Gradual onset of symptoms
Lack of tumescence (erection)
Normal libido

Question 4

Which factors indicate a psychogenic cause of ED?

Answer 4

Sudden onset
Decreased libido
Self-stimulated erections
Major life events
History of psychological problems

Question 5

What are the risk factors for ED?

Answer 5

Cardiovascular disease: obesity, DM, HTN, smoking
Alcohol
Drugs: SSRIs, beta-blockers

Question 6

What investigations should be done for ED?

Answer 6

Free testosterone between 9-11am

If testosterone low or borderline, repeat with FSH, LH and prolactin.

Question 7

What is the first line management of ED?

Answer 7

PDE-5 inhibitors = sildenafil

referral for young men who have always had ED
if cycling for >3 hours a week, advise to stop