{[ promptMessage ]}

Bookmark it

{[ promptMessage ]}

BPH & ED Pathophys I Fall 2012 STUDENT (1)

Nocturia incomplete emptying weak stream american

Info iconThis preview shows pages 15–25. Sign up to view the full content.

View Full Document Right Arrow Icon
Nocturia, incomplete emptying, weak stream American Urological Association (AUA) Symptom Index 7 questions rated 0-5; max score of 35 0 (mild) - 7 (severe) scale < 7: mild BPH 8-19: moderate > 20: severe
Background image of page 15

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Diagnosis of BPH Medical history Physical exam Digital rectal exam (DRE) Palpation of the prostate should yield a large prostate with a smooth, rubbery surface Hard areas may indicate a malignancy
Background image of page 16
Diagnosis of BPH Blood test Serum creatinine Kidney function Prostate specific antigen Used to detect prostate cancer If mildly elevated (>1.4ng/ml), may suspect BPH
Background image of page 17

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Diagnosis of BPH Rate of urine flow >10 ml/min: normal <10 ml/min: obstructive Urinalysis Detection of bacteria or hematuria Post-void residual > 25 - 30 mL: incomplete bladder emptying
Background image of page 18
Erectile Dysfunction
Background image of page 19

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Penile Erection Neurovascular process Autonomic nervous system Cavernous nerves Responsible for erection, ejaculation, detumescence Somatic nervous system Pudendal nerve Responsible for penile sensation Vascular smooth muscle Arteries Veins
Background image of page 20
Penile Erection Parasympathetic stimulation ACh → NO → activates guanyl cyclase → ↑ cGMP → relaxation of the trabecular smooth muscle of the corpora cavernosa → allows influx of blood in sinusoidal cavities Compression of the veins that control venous blood return High pressure in the sinusoids → hardening and elongation of the penis
Background image of page 21

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Background image of page 22
Background image of page 23

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
Sympathetic NS
Background image of page 24
Image of page 25
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

Page15 / 31

Nocturia incomplete emptying weak stream American...

This preview shows document pages 15 - 25. Sign up to view the full document.

View Full Document Right Arrow Icon bookmark
Ask a homework question - tutors are online