Disorders of the Prostate and Treatment Flashcards Preview

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Flashcards in Disorders of the Prostate and Treatment Deck (38)
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1

most common benign tumor in men

BPH

2

What happens pathophysiologically as the prostate gland enlarges?

Increased resistance to urine flow leads to bladder muscle hypertrophy. Predisposes to infection

3

What are the irritative symptoms of BPH?

frequency, nocturia, urgency

4

Obstructive symptoms include: hesitancy, weak stream, incomplete emptying, straining, dribble

BPH

5

What labs should you order for BPH?

UA, Cr, PSA

6

When is imaging such as IVU, IVP, CT or renal ultrasound ordered to evaluate BPH?

recommended only in the presence of concomitant urinary tract disease, or complications from benign prostatic hyperplasia

7

Medication primarily used for symptomatic relief of BPH

alpha blockers

8

Medication class used to reduce prostate size

5-alpha-reductase inhibitors

9

Most common alternative supplement for BPH

saw palmetto

10

What are the treatment recommendations for a man who has AUA score <7?

watchful waiting (limit fluids after dinner, avoid decongestants, void frequently)

11

Indications include refractory acute retention, hydronephrosis, repeated UTIs, recurrent or refractory gross hematuria, or elevated Cr level that responds to catheter drainage

prostatectomy

12

Most common surgical procedure for BPH

transurethral prostatectomy

13

Common complication of transurethral prostatectomy

Retrograde ejaculation resulting in infertility

14

Better surgical option for younger men with smaller prostates; reduces risk for retrograde ejaculation and subsequent infertility

Transurethral Incision of the Prostate (TUIP)

15

Most common cancer detected in american men and second leading cause of cancer related death. 'Merica!

prostate

16

Clinical findings suggestive of prostate cancer

induration at time of DRE and elevated PSA

17

Most common site of prostate cancer metastases

axial skeleton

18

standard method for detection of prostate cancer. Taken from the apex, midportion and base of prostate

transrectal-guided biopsy

19

Most frequently used to stage prostate cancer

transrectal ultrasound

20

When should you order a bone scan for prostate cancer?

those with advanced local lesions, symptoms of mets, high grade prostate cancer and PSA’s >20

21

Stage of cancer where tumor is microscopic and confined to prostate but is undetectable by a digital rectal exam (DRE) or by ultrasound

stage T1

22

Stage of cancer where Tumor is confined to prostate and can be detected by DRE or ultrasound

stage T2

23

Stage of cancer when it has spread to tissue adjacent to the prostate or to the seminal vesicles

stage T3 or T4

24

Stage of cancer when it has spread to pelvic lymph nodes, lymph nodes, organs, or bones distant from the prostate

N+ or M+

25

What stage tumors are candidates for curative therapy with either radiation therapy or radical prostatectomy. Usually external beam radiation therapy

T1 or T2

26

Benefits of external beam radiation therapy

lower risk of erectile dysfunction and incontinence

27

involves placing radioactive, rice-sized pellets directly into the prostate gland; the radiation is emitted from within the gland for a specified period of time and then dissipates

brachytherapy

28

Abx treatment for acute bacterial prostatitis caused by STD

A shot of ceftriaxone followed by a 7-day course of doxycycline

29

Common symptoms of acute prostatitis that are often not present with chronic prostatitis

perineal pain and exquisite tenderness of the prostate

30

In men older than 35, what bacteria typically cause prostatitis?

e. coli