AUA Exam Midterm Questions With Complete Solutions

What are common voiding symptoms for men with BPH? correct answer: -Urgency -Frequency -Nocturia -Slow stream -Hesitancy -Incomplete emptying -Post-voiding dribble -Incontinence Hazzard text: All these may be related to benign prostatic hypertrophy/hyperplasia (BPH), but also benign prostatic enlargement, and bladder outlet obstruction. What type of patient would come in with BPH? correct answer: -Age 60-70 years old and increases in age till 9th decade -Some data suggest African-American men because it maybe to higher levels of 5alpha-reductase What is the MOA of alpha blockers? correct answer: Alpha blockers can lead to dilation of smooth muscle in the bladder and urethra. What side effects do alpha blockers cause? correct answer: Dizziness and fainting What are medication choices for BPH? correct answer: -Alpha blockers (Prazosin, Doxazosin) -5-alpha reductase inhibitors (Finasteride) -Anticholinergics (Detrol LA) -Combination therapy If you start a patient on alpha-blockers (eg, Prazosin, Doxazosin), when should you recommend the patient take the medication and why? correct answer: At bedtime because alpha blockers can lead to dilation of smooth muscle in the bladder and urethra. It can also cause dilation in other areas with smooth muscle that leads to dizziness and fainting. When working a patient up for suspected BPH, what labs would you do? correct answer: -UA and culture -BUN and Cr-important to do because urology won't do IVP on patient if this is not done -PSA What diagnostic procedures are done for suspected BPH? correct answer: -Intravenous pyelogram -Cystoscopy -Urine flow study What are some surgical and minimally invasive therapies for BPH? correct answer: Minimally invasive: -Transurethral needle ablation (TUNA) -Transuretheral microwave thermotherapy (TUMT) Surgical therapies: -Open prostatectomy -Transurethral incision of prostate (TUIP