Anatomic Dysfunctions of Voiding Flashcards Preview

Week 64: Prostate Cancer and BPH > Anatomic Dysfunctions of Voiding > Flashcards

Flashcards in Anatomic Dysfunctions of Voiding Deck (9)
Loading flashcards...
1

Storage symptoms

Frequency
Urgency
Urge incontinence
Nocturia
Dysuria

2

Emptying symptoms

Weak stream
Intermittency
Straining
Sense of incomplete emptying

3

4 things that can cause increased urine production

Diabetes
Diuretics
Pedal edema mobilization (CHF)
OSA

4

How does OSA cause increased urination

Increased airway resistance
Hypoxia
Pulmonary vasoconstriction
Increased RA pressure
Causes increased ANP
Results in Na and H2O excretion

5

3 things to do when someone presents with lower urinary tract symptoms

History
Focused P/E
UA

6

PSA

Peptidase secreted by epithelial cells of prostate
Liquefies seminal coagulum and may liquefy cervical mucus
Made by both healthy and cancerous prostate cancer
Often elevated in the presence of prostate cancer

7

What is BPH

Proliferation of epithelial and smooth muscle cells
Within transition zone of prostate
Changes may lead to outlet obstruction

8

Types of meds for BPH

Alpha blockers
5-alpha reductase inhibitors
Combination therapy
PDE-5 inhibitors

9

Indications for surgical therapy

> 80 cc
Urethral stricture
Hip contractures
Need for concomitant bladder surgery (diverticulum, big stones)