Urology

Question 1

In which circumstances might you give a 5-alpha reductase inhibitor e.g Finasteride first line to a man with LUTs?

Answer 1

If his prostate is > 30 g
or
his PSA was > 1.4
or he is at high risk of progression e.g elderly man

Question 2

What is the typical presentation of interstitial cystitis and what are the hallmark histological findings on cystoscopy?

Answer 2

Interstitial cystitis - also known as painful bladder syndrome - presents with PAINFUL urinary urgency and frequency

Hunner lesions can be seen in the bladder on cystoscopy