Urology

Question 1

Management of BPH

Answer 1

Reduce; caffiene, smoking, alcohol
Bladder training
Finesteride 6w to work
Tamulosin 6m to work

Question 2

Monitoring for non aggressive prostate cancer

Answer 2

PSA every 3m
USS 6m
Biopsy 12m

Question 3

Active surveillance vs watchful waiting

Answer 3

Active surveillance is when you will treat it if it changes with aim to cure
Watchful waiting is cant have chemo/radio/other comord, would only do symptomatic management

Question 4

What score do you use to assess severity of prostate symptoms?

Answer 4

IPSS

Question 5

What score do you use to grade prostate cancer?

Answer 5

Gleason Score

Question 6

When would you not treat prostate cancer?

Answer 6

Life expectancy

Question 7

Causes of urge incontinence

Answer 7

neuro: Stroke, PD, MS
OAB
irritation: UTI, stones

Question 8

Stress incontinence Px

Answer 8

Pelvic floor exercise
Lose weight
Surgery: tape/sling, coloposuspension
Duloxetine

Question 9

Urge incontinence Px

Answer 9

Physio/pelvic floor
Lose weight
Bladder re-training
Antimuscuranic drugs eg oxybutynin
Surgery - not common, only v severe

Question 10

Which drugs predispose to kidney stones?

Answer 10

Diuretics

Calcium/vit D supplements

Question 11

Px of kidney stones

Answer 11

NSAIDs
Fluids
Anti emetics
try conservative if 3w if can manage pain
nifidepine, tamulosin
ESWL
lap surgery
open surgery