Urinary Retention

Question 1

Drug treatments that cause urinary retention

Answer 1

Antimuscarinics, sympathomimetics, tricyclic antidepressants

Question 2

Treatment for acute urinary retention (urinary retention over a couple of hours)

Answer 2

Catheterisation- medical emergency
Give alpha blocker for at least 2 days before removal

Question 3

Symptoms of BPH

Answer 3

Feeling that bladder hasn’t completely emptied, weak stream, having trouble starting/ stopping stream, urgency, increased frequency, nocturia.

Question 4

Risks associated with intermittent catheterisation

Answer 4

recurrent UTI’s, trauma to urethra, pain, and stone formation with catheters.

Question 5

Side effects associated with Tamsulosin

Answer 5

Dizziness, sexual dysfunction, postural hypotension

Question 6

When should Tamsulosin be taken, especially the first dose?

Answer 6

At night- postural hypotension risk

Question 7

Contraception advice in males started on finasteride

Answer 7

Wear condoms as can be excreted in semen

Question 8

Side effects of Finasteride

Answer 8

Sexual and psychiatric side effects (depression and suicidal thoughts), increased risk of breast cancer

Question 9

Drug class of finasteride

Answer 9

5- alpha reductase inhibitor