Male & Female Health: Benign Prostatic Hyperplasia (BPH)

Question 1

Signs and symptoms of BPH

Answer 1

Hesitancy, intermittent urine flow, strain or weak stream
urinary urgency and leaking/dribbling
urinary frequency, especially at night
incomplete emptying of bladder

Question 2

5 alpha-reductase inhibitors should not be used in..

Answer 2

men who have bladder outlet obstruction symptoms without prostate enlargement

Question 3

5 alpha-reductase inhibitor works by…

Answer 3

reducing prostate size

take awhile to work

Question 4

1st line treatment for BPH?

Answer 4

alpha-1 blockers

Question 5

Alpha-1 blockers mechanism

Answer 5

cause relaxation of smooth muscle in the prostate and bladder neck

reduces bladder outlet obstruction and improve urinary flow

Question 6

Non-selective vs selective alpha blockers

Answer 6

Non-selective = more side effects = terazosin, doxazosin
selective = tamsulosin, alfuzosin, silodosin

Question 7

If cataract surgery is planned, then txm with alpha blockers should be…

Answer 7

delayed, risk of developing intraoperative floppy iris syndrome

Question 8

Alpha blocker warnings

Answer 8

Orthostatic hypotension/syncope
intraoperative floppy iris syndrome (IFIS)

Question 9

Alpha blocker side effects

Answer 9

dizziness
fatigue
headache
abnormal ejaculation

Question 10

When are non-selective alpha blockers given

Answer 10

usually at bedtime

Question 11

5- alpha reductase inhibitors

Answer 11

Finasteride
Dutasteride

Question 12

5 alpha reductase inhibitor CI

Answer 12

women of child bearing potential
pregnancy
children

Question 13

5 alpha reductase inhibitor side effects

Answer 13

impotence
dec libido
ejaculation issues
breast enlargement and tenderness
sexual SE decrease over time in some men

Question 14

5 alpha reductase inhibitor notes

Answer 14

pregnant women shouldn’t handle or take these

treatment for 6 months+ may be req for maximal efficacy

will shrink prostate and decrease PSA lvls