{"id":225166,"date":"2026-01-11T20:36:50","date_gmt":"2026-01-11T20:36:50","guid":{"rendered":"https:\/\/www.europesays.com\/pt\/225166\/"},"modified":"2026-01-11T20:36:50","modified_gmt":"2026-01-11T20:36:50","slug":"quiz-paciente-com-sensacao-de-esvaziamento-incompleto-e-leve-disfuncao-eretil","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/pt\/225166\/","title":{"rendered":"Quiz: Paciente com sensa\u00e7\u00e3o de esvaziamento incompleto e leve disfun\u00e7\u00e3o er\u00e9til"},"content":{"rendered":"<p>Paciente masculino, branco,\u00a073\u00a0anos,\u00a0diab\u00e9tico,\u00a0hipertenso e com sobrepeso, que faz consultas regulares com urologista desde os 52 anos,\u00a0comparece ao consult\u00f3rio\u00a0para avalia\u00e7\u00e3o\u00a0urol\u00f3gica de rotina,\u00a0com leves sintomas miccionais do trato urin\u00e1rio inferior (STUI): hesita\u00e7\u00e3o e sensa\u00e7\u00e3o de esvaziamento incompleto. Relata, ainda, leve disfun\u00e7\u00e3o er\u00e9til com boa resposta com inibidor da PDE-5 di\u00e1rio. Est\u00e1 h\u00e1 1 ano em uso de\u00a0tansulosina\u00a00,4 mg\u00a0associado a\u00a0dutasterida 0,5 mg com moderada resposta. Nega cirurgias pr\u00e9vias, alergias, tabagismo. Etilista social e pratica atividade f\u00edsica regular (5x na semana). Tem hist\u00f3rico familiar de\u00a0c\u00e2ncer de pr\u00f3stata (ACP:\u00a0pai\u00a0aos 83 anos\u00a0e irm\u00e3o\u00a0aos 68 anos).\u00a0<\/p>\n<p>Trouxe ultrassonografia:\u00a0vias urin\u00e1rias superiores dentro da normalidade. Pr\u00f3stata de\u00a046g, ves\u00edculas anat\u00f4micas e res\u00edduo p\u00f3s-miccional de 46 ml, bexiga de paredes finas.\u00a0<\/p>\n<p class=\"content-paywall\">Ao exame f\u00edsico: abdome depress\u00edvel, timp\u00e2nico,\u00a0peristlase\u00a0+, indolor.\u00a0Toque retal:<b>\u00a0<\/b>esf\u00edncter t\u00f4nico, pr\u00f3stata\u00a0fibroel\u00e1stica, m\u00f3vel, sem n\u00f3dulos, cerca de 40g.\u00a0<\/p>\n<p class=\"content-paywall\">Exames laboratoriais:\u00a0Hb-14,8\/ Plaq-219.000\/\u00a0Hb\u00a0glicada-8,5\/ Glico-147\/U-35\/ C-1,15\/ Colesterol T-266\/ LDL- 181 PSA (maio\u00a0de\u00a02024)\u00a0\u2013 4,51\u00a0ng\/ml e 6,45\u00a0ng\/ml (dezembro de 2024).\u00a0<\/p>\n<p class=\"content-paywall\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-147568\" src=\"https:\/\/www.europesays.com\/pt\/wp-content\/uploads\/2026\/01\/imagem-quiz-cirurgia-urologica-3-300x186.jpeg\" alt=\"\" width=\"498\" height=\"309\"  \/><\/p>\n<p class=\"content-paywall\">\u00a0<\/p>\n<p><img alt=\"Prescri\u00e7\u00f5es m\u00e9dicas gratuitas e ilimitadas\" data-sentry-element=\"Image\" data-sentry-source-file=\"IclinicPrescriptionCard.tsx\" data-sentry-component=\"IclinicPrescriptionCardImage\" loading=\"lazy\" width=\"169\" height=\"32\" decoding=\"async\" data-nimg=\"1\" style=\"color:transparent\" src=\"https:\/\/portal.afya.com.br\/images\/logos\/logo-iclinic.svg\"\/>Exclusividade m\u00e9dica<\/p>\n<p class=\"text-small\">Prescreva medica\u00e7\u00e3o aos seus pacientes de forma gratuita e ilimitada<\/p>\n<p>Cadastre e prescreva<\/p>\n<p class=\"text-xl leading-[normal] font-normal text-neutral-darkest mb-4\">Como voc\u00ea avalia este conte\u00fado?<\/p>\n<p class=\"text-md leading-[normal] text-neutral-base mb-8\">Sua opini\u00e3o ajudar\u00e1 outros m\u00e9dicos a encontrar conte\u00fados mais relevantes.<\/p>\n<p>muito bomprecisa melhorar<\/p>\n","protected":false},"excerpt":{"rendered":"Paciente masculino, branco,\u00a073\u00a0anos,\u00a0diab\u00e9tico,\u00a0hipertenso e com sobrepeso, que faz consultas regulares com urologista desde os 52 anos,\u00a0comparece ao consult\u00f3rio\u00a0para&hellip;\n","protected":false},"author":2,"featured_media":225167,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[86],"tags":[116,32,33,117],"class_list":{"0":"post-225166","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-saude","8":"tag-health","9":"tag-portugal","10":"tag-pt","11":"tag-saude"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@pt\/115878392144576417","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/posts\/225166","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/comments?post=225166"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/posts\/225166\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/media\/225167"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/media?parent=225166"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/categories?post=225166"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/pt\/wp-json\/wp\/v2\/tags?post=225166"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}