Current consensus and controversy on the treatment of male lower urinary tract symptoms/benign prostatic hyperplasia
Lower urinary tract symptoms (LUTS) are highly prevalent in men and increase with age. Because LUTS are common among elderly men, they are usually considered synonymous with benign prostatic hyperplasia (BPH). Drugs should be the first-line treatment for BPH and surgical intervention should be perfo...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Tzu Chi Medical Journal |
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| Online Access: | http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=1;spage=1;epage=5;aulast=Liao |
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| _version_ | 1849395619561472000 |
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| author | Chun-Hou Liao Hann-Chorng Kuo |
| author_facet | Chun-Hou Liao Hann-Chorng Kuo |
| author_sort | Chun-Hou Liao |
| collection | DOAJ |
| description | Lower urinary tract symptoms (LUTS) are highly prevalent in men and increase with age. Because LUTS are common among elderly men, they are usually considered synonymous with benign prostatic hyperplasia (BPH). Drugs should be the first-line treatment for BPH and surgical intervention should be performed only when there are complications or LUTS refractory to medical treatment. In addition to medical treatment, several minimally invasive therapies, such as thermal therapy, prostatic lift, laser evaporation, or laser enucleation techniques have been developed. Recent investigations have also revealed that bladder dysfunction such as detrusor overactivity and detrusor underactivity may also contribute to male LUTS. In the treatment of LUTS suggestive of BPH (LUTS/BPH), the following questions should be considered: Is there an obstruction? Are we treating BPH or LUTS? Can management targeting BPH reduce LUTS? Should patients with LUTS be treated before bladder outlet obstruction is confirmed? What is the role of transurethral resection of the prostate (TURP) nowadays? Will new techniques provide better outcomes than TURP? This article discusses the current consensus and controversies in the treatment of LUTS/BPH. |
| format | Article |
| id | doaj-art-a904570042f4403181d150ca54a33103 |
| institution | Kabale University |
| issn | 1016-3190 2223-8956 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Tzu Chi Medical Journal |
| spelling | doaj-art-a904570042f4403181d150ca54a331032025-08-20T03:39:32ZengWolters Kluwer Medknow PublicationsTzu Chi Medical Journal1016-31902223-89562017-01-012911510.4103/tcmj.tcmj_2_17Current consensus and controversy on the treatment of male lower urinary tract symptoms/benign prostatic hyperplasiaChun-Hou LiaoHann-Chorng KuoLower urinary tract symptoms (LUTS) are highly prevalent in men and increase with age. Because LUTS are common among elderly men, they are usually considered synonymous with benign prostatic hyperplasia (BPH). Drugs should be the first-line treatment for BPH and surgical intervention should be performed only when there are complications or LUTS refractory to medical treatment. In addition to medical treatment, several minimally invasive therapies, such as thermal therapy, prostatic lift, laser evaporation, or laser enucleation techniques have been developed. Recent investigations have also revealed that bladder dysfunction such as detrusor overactivity and detrusor underactivity may also contribute to male LUTS. In the treatment of LUTS suggestive of BPH (LUTS/BPH), the following questions should be considered: Is there an obstruction? Are we treating BPH or LUTS? Can management targeting BPH reduce LUTS? Should patients with LUTS be treated before bladder outlet obstruction is confirmed? What is the role of transurethral resection of the prostate (TURP) nowadays? Will new techniques provide better outcomes than TURP? This article discusses the current consensus and controversies in the treatment of LUTS/BPH.http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=1;spage=1;epage=5;aulast=LiaoLower urinary tract symptomsMedical treatmentOveractive bladderQuality of lifeSurgery |
| spellingShingle | Chun-Hou Liao Hann-Chorng Kuo Current consensus and controversy on the treatment 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 treatment of male lower urinary tract symptoms/benign prostatic hyperplasia |
| title_full | Current consensus and controversy on the treatment of male lower urinary tract symptoms/benign prostatic hyperplasia |
| title_fullStr | Current consensus and controversy on the treatment of male lower urinary tract symptoms/benign prostatic hyperplasia |
| title_full_unstemmed | Current consensus and controversy on the treatment of male lower urinary tract symptoms/benign prostatic hyperplasia |
| title_short | Current consensus and controversy on the treatment of male lower urinary tract symptoms/benign prostatic hyperplasia |
| title_sort | current consensus and controversy on the treatment 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=1;epage=5;aulast=Liao |
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