Urology II

Question 1

Urinary problems in a man with a history of gonorrhoea may be due to a []

Answer 1

Urinary problems in a man with a history of gonorrhoea may be due to a urinary stricture

Question 2

A patient has BPH.

You have started them on finasteride and tamulosin.

1. What are the MoA of finasteride and tamulosin? [2]
2. What medication would you give next if they don’t work? [1]

Answer 2

Finasteride:
- 5-alpha reductase inhibitor, reduces DHT

Tamulosin:
- Alpha blocker

Next step would be to give: oxybutynin (immediate release), tolterodine (immediate release), or darifenacin (once daily preparation)

Question 3

How do you change inguinal hernia treatment depending on if the hernia is:

• Bilateral or recurrent
• Unilateral

Answer 3

• Bilateral or recurrent: lap. mesh repair
• Unilateral: open mesh repair