Duke PA BPH, ED, Prostatitis
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| Define erectile dysfunction | show 🗑
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| show | Organic rather than psychogenic
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| The neurotransmitters that initiate and contribute to male erection include__ | show 🗑
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| A loss of libido may indicate __ | show 🗑
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| show | Arterial, venous, neurogenic, or psychogenic causes
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| show | Antihypertensives
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| __ medications rarely alter erections | show 🗑
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| Centrally acting sympatholytics (methyldopa, clonidine, reserpine) can result in __ | show 🗑
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| Beta blockers, and spironolactone may result in __ | show 🗑
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| The gradual loss of erectile function over a period of time is more indicative of __ | show 🗑
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| show | Clomipramine 25 mg
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| show | 25
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| show | CBC, U/A, lipids, serum testosterone, glucose, prolactin
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| show | LH, and FSH to help localize the site of the disease to the hypothalamus, pituitary, or testes
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| show | Sexual stimulation (psychogenic or tactile)
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| show | Nitric oxide
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| show | Muscular relaxation, cavernosal artery dilation, and increased blood flow
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| Psychogenic causes of ED are now thought to represent <__% of patients seen by ED specialists | show 🗑
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| show | Neuromuscular junction where the cavernosal nerves meet the smooth muscle and endothelium of the deep cavernous penile arteries
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| show | Permissive
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| What is the most common endocrine disorder affecting erectile ability | show 🗑
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| What is the most important effect that diabetes has on erectile ability | show 🗑
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| show | thyroid and adrenal
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| 90% of patients with ED respond to injected vasodilatory agents indicating that __ is not the cause of most cases of ED | show 🗑
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| show | pudendal nerve to S2-S4
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| The paired cavernosal nerves penetrate the corpus cavernosa and innervate the __ | show 🗑
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| show | Thoracolumbar levels T10-L2
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| show | Penile prosthesis
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| >__% of all men will develop histological evidence of BPH during the course of their lifetime | show 🗑
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| show | 50
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| Lower urinary tract symptoms can be divided into what two categories | show 🗑
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| show | Dihydrotestosterone
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| show | Periurethral prostatic tissue referred to as the transition zone
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| show | Bladder outlet obstruction
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| What is the American Urological Association (AUA) symptom index for BPH | show 🗑
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| An AUA score of __ is considered mild | show 🗑
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| An AUA score of __ is considered moderate | show 🗑
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| An AUA score of __ is considered severe | show 🗑
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| What is the preferred first line treatment option for patients diagnosed with LUTS from BPH | show 🗑
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| show | Moderate to severe
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| What are the indications for surgery in a patient with LUTS from BPH | show 🗑
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| show | The amount to which the patients symptoms are bothersome to him
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| What are the most common prescribed medication for the treatment of LUTS associated with BPH | show 🗑
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| show | 5a reductase inhibition (finasteride and dutasteride)
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| show | Saw palmetto berry
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| show | Transurethral Resection of the Prostate (TURP)
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| show | Transurethral microwave thermotherapy, one of the most widely studied minimally invasive methods of treating symptomatic BPH
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| What does TUNA stand for | show 🗑
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| show | The reduction in bleeding, fluid absorption, the risks associated with general or spinal anesthesia, decreased rates of incontinence, ED, bladder neck contractures, and urethral strictures, reduce hospital stay
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| show | 65-75% of patients with symptomatic reduction and flow rate improvement
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| show | TURP
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| show | Urinary incontinence, retrograde ejaculation, and urethral stricture
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| show | Open surgical enucleation (prostatectomy)
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| show | 25
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| show | Prostatitis
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| show | Chronic nonbacterial prostatitis CPPS
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| Patients with acute bacterial prostatitis usually present with what symptoms | show 🗑
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| show | Fluoroquinolones
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| show | Follow up urine culture to document clearance of the infection
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| show | CBP
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| show | Nonspecific but include LUTS, pelvic pain and or sexual dysfunction
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| show | Trimethoprim-sulfamethoxazole (TMP-SMX) or a fluoroquinolone
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| show | Surgery
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| show | III chronic nonbacterial prostatitis
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| Patients with chronic nonbacterial prostatitis usually exhibit what symptoms | show 🗑
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| show | Pelvic pain
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| Noninflammatory CPPS, aka prostadynia is typically seen in __ | show 🗑
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| Patients with prostadynia usually exhibit pelvic pain and voiding symptoms but have __ | show 🗑
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| show | Benign prostatic hyperplasia
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| The usual etiologic agents of acute bacterial prostatitis | show 🗑
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| How long should antibiotic therapy for acute bacterial prostatitis last | show 🗑
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| Chronic bacterial prostatitis is associated with __ | show 🗑
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| show | Normal prostate exam
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| show | NSAIDS and Sitz baths
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| Acute bacterial prostatitis commonly presents with __ | show 🗑
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| TCA’s can be used to treat pain associated with | show 🗑
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| show | 50
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| What are the requirements for achieving an erection | show 🗑
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| show | AUA symptom index
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| show | 20g
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| The normal prostate is about the size of __ | show 🗑
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| show | Transition zone
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| The prostate is about __ on the DRE | show 🗑
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| show | Chronic bacterial prostatitis
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