Treatment Options for Benign Prostatic Hyperplasia (BPH)
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Questions and Answers

What is the recommended management strategy for patients with mild symptoms of LUTS secondary to BPH?

  • Starting 5 Alpha Reductase Inhibitors right away
  • Watchful Waiting (correct)
  • Immediate surgical intervention
  • Avoiding all medications including alpha blockers
  • Which medication should be used with caution if the postvoid residual urine volume is > 100 to 150 mL to minimize the risk of acute urinary retention?

  • Urinary Anticholinergics (correct)
  • Testosterone
  • Diuretics
  • 5 Alpha Reductase Inhibitors
  • What is a characteristic of 5 Alpha Reductase Inhibitors (5ARIs) efficacy in the treatment of BPH?

  • Greater efficacy in those with large prostates (correct)
  • Rapid onset of action within days
  • Most effective in patients with small prostates
  • Effective for reducing prostate volume in all patients
  • Which medication can exacerbate BPH symptoms by increasing urinary frequency?

    <p>Testosterone</p> Signup and view all the answers

    What is the typical onset of action for Watchful Waiting in managing mild BPH symptoms?

    <p>6 months or more</p> Signup and view all the answers

    What is a recommended non-pharmacological alternative for patients with moderate to severe signs and symptoms of BPH?

    <p>Educating the patient to take time to empty their bladder completely</p> Signup and view all the answers

    Which class of medications may worsen BPH symptoms by decreasing the ability of the bladder to contract and force urine out?

    <p>Antihistamines</p> Signup and view all the answers

    What is the impact of anticholinergics on patients with BPH?

    <p>Decrease the ability of the bladder to contract</p> Signup and view all the answers

    What is a common lifestyle modification recommended for patients with BPH?

    <p>Limiting fluid intake close to bedtime</p> Signup and view all the answers

    Which type of medication may be used in patients with BPH who have irritative symptoms?

    <p>Tricyclic antidepressants</p> Signup and view all the answers

    Which of the following complications is NOT associated with Benign Prostatic Hyperplasia (BPH)?

    <p>Acute respiratory distress syndrome (ARDS)</p> Signup and view all the answers

    What is considered a clinically significant change in the AUA-SI for BPH?

    <p>AUA-SI decrease of 3 points</p> Signup and view all the answers

    In BPH management, what is the goal of therapy related to lower urinary tract symptoms?

    <p>Reduce bothersome LUTS</p> Signup and view all the answers

    How are BPH patients classified based on bothersome symptoms and/or severity?

    <p>Based on AUA-SI score</p> Signup and view all the answers

    What is the recommended management strategy for BPH patients under 'Watchful Waiting'?

    <p>Regular monitoring without pharmacological or surgical management</p> Signup and view all the answers

    Which of the following complications is associated with Benign Prostatic Hyperplasia (BPH)?

    <p>Anemia</p> Signup and view all the answers

    What is a key aspect of the evaluation and assessment of Benign Prostatic Hyperplasia (BPH)?

    <p>Performing a rectal examination</p> Signup and view all the answers

    What is one of the primary goals of therapy in Benign Prostatic Hyperplasia (BPH)?

    <p>Relieving lower urinary tract symptoms</p> Signup and view all the answers

    How can Benign Prostatic Hyperplasia (BPH) impact a patient's quality of life?

    <p>Causing sexual dysfunction</p> Signup and view all the answers

    Which of the following is a common sign or symptom of Benign Prostatic Hyperplasia (BPH)?

    <p>Urinary frequency and urgency</p> Signup and view all the answers

    What is the recommended dosing for Tadalafil (Cialis) in patients with BPH?

    <p>5mg tablet daily</p> Signup and view all the answers

    Which combination therapy for BPH does the AUA 2021 guidelines mention as not offering advantages in symptom improvement?

    <p>Tadalafil and α1 antagonist</p> Signup and view all the answers

    In patients with BPH and ED, what could be considered as an alternative treatment option according to the provided information?

    <p>PDE5I</p> Signup and view all the answers

    What is the recommended dose adjustment for Tadalafil when a patient is using strong CYP3A4 Inhibitors?

    <p>Decrease the dose to 2.5mg daily</p> Signup and view all the answers

    What is the impact of PDE5Is on patients with BPH and ED compared to α1 adrenergic antagonists?

    <p>Slower onset of action</p> Signup and view all the answers

    Which selective Alpha 1a blocker has an ER formulation that behaves like a Uroselective a1A?

    <p>Alfuzosin (uroxatral)</p> Signup and view all the answers

    Which Non selective(uroselective) not recommened by the AUA

    <p>Prazosin (minipress)</p> Signup and view all the answers

    Two common Selective a1a antagonist

    <p>tamsulosin (flomax) &amp; Silodosin (rapaflo)</p> Signup and view all the answers

    a1A do reduce the prostate size and don't offer prevention for progression of BPH or the need for surgery

    <p>False</p> Signup and view all the answers

    <p>False</p> Signup and view all the answers

    a1A blockers work faster than 5a reductase inhibitors (5ARI)

    <p>True</p> Signup and view all the answers

    What two a1A blockers is required to be given at night

    <p>Doxazosin and Terazosin</p> Signup and view all the answers

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