Current consensus and controversy on the diagnosis of male lower urinary tract symptoms/benign prostatic hyperplasia

Traditionally, male lower urinary tract symptoms (LUTS) have been considered a synonym for benign prostate hyperplasia (BPH) because most male LUTS develops in aging men. Medical treatment should be the first-line treatment for BPH and surgical intervention should be performed when there are complic...

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Main Authors: Cheng-Ling Lee, Hann-Chorng Kuo
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Tzu Chi Medical Journal
Subjects:
Online Access:http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=1;spage=6;epage=11;aulast=Lee
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author Cheng-Ling Lee
Hann-Chorng Kuo
author_facet Cheng-Ling Lee
Hann-Chorng Kuo
author_sort Cheng-Ling Lee
collection DOAJ
description Traditionally, male lower urinary tract symptoms (LUTS) have been considered a synonym for benign prostate hyperplasia (BPH) because most male LUTS develops in aging men. Medical treatment should be the first-line treatment for BPH and surgical intervention should be performed when there are complications or LUTS refractory to medical treatment. Recent investigations have revealed that bladder dysfunction and bladder outlet dysfunction contribute equally to male LUTS. In the diagnosis of LUTS suggestive of BPH (LUTS/BPH), the following questions should be considered: Is there an obstruction? Are the LUTS caused by an enlarged prostate? What are the appropriate tools to diagnose an obstructive BPH? Should patients with LUTS be treated before bladder outlet obstruction is confirmed? This article discusses the current consensus and controversies in the diagnosis of LUTS/BPH.
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spelling doaj-art-a20ae0ff6d9b4833b31b4c71f696e3752025-08-20T03:18:58ZengWolters Kluwer Medknow PublicationsTzu Chi Medical Journal1016-31902223-89562017-01-0129161110.4103/tcmj.tcmj_3_17Current consensus and controversy on the diagnosis of male lower urinary tract symptoms/benign prostatic hyperplasiaCheng-Ling LeeHann-Chorng KuoTraditionally, male lower urinary tract symptoms (LUTS) have been considered a synonym for benign prostate hyperplasia (BPH) because most male LUTS develops in aging men. Medical treatment should be the first-line treatment for BPH and surgical intervention should be performed when there are complications or LUTS refractory to medical treatment. Recent investigations have revealed that bladder dysfunction and bladder outlet dysfunction contribute equally to male LUTS. In the diagnosis of LUTS suggestive of BPH (LUTS/BPH), the following questions should be considered: Is there an obstruction? Are the LUTS caused by an enlarged prostate? What are the appropriate tools to diagnose an obstructive BPH? Should patients with LUTS be treated before bladder outlet obstruction is confirmed? This article discusses the current consensus and controversies in the diagnosis of LUTS/BPH.http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=1;spage=6;epage=11;aulast=LeeLower urinary tract symptomsMedical treatmentOveractive bladderQuality of lifeSurgery
spellingShingle Cheng-Ling Lee
Hann-Chorng Kuo
Current consensus and controversy on the diagnosis of male lower urinary tract symptoms/benign prostatic hyperplasia
Tzu Chi Medical Journal
Lower urinary tract symptoms
Medical treatment
Overactive bladder
Quality of life
Surgery
title Current consensus and controversy on the diagnosis of male lower urinary tract symptoms/benign prostatic hyperplasia
title_full Current consensus and controversy on the diagnosis of male lower urinary tract symptoms/benign prostatic hyperplasia
title_fullStr Current consensus and controversy on the diagnosis of male lower urinary tract symptoms/benign prostatic hyperplasia
title_full_unstemmed Current consensus and controversy on the diagnosis of male lower urinary tract symptoms/benign prostatic hyperplasia
title_short Current consensus and controversy on the diagnosis of male lower urinary tract symptoms/benign prostatic hyperplasia
title_sort current consensus and controversy on the diagnosis of male lower urinary tract symptoms benign prostatic hyperplasia
topic Lower urinary tract symptoms
Medical treatment
Overactive bladder
Quality of life
Surgery
url http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=1;spage=6;epage=11;aulast=Lee
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