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Continence Management

You decide that conservative management may be the best way to approach Mr Scott’s overflow continence problem and you recommend that he commence prazosin 05mg daily and advise that he make an appointment to see you in one month.

Mr Scott will continue regular appointments with the nurse continence advisor, who will monitor his PVR.  The aim is to reduce Mr Scott’s PVR to <200ml consistently and to reduce his experience of nocturia. 

If Mr Scott’s PVR cannot be reduced to <200ml, he will be referred to a urologist for further investigation, most likely a cystoscopy in order to evaluate the need for surgery should he have co-existent pathologies (eg. urethral stricture, bladder neck contracture).