Abstract
Male lower urinary tract symptoms (LUTS) comprise one of the most common medical conditions in aging men. The most common cause of these voiding symptoms is due to prostatic obstruction secondary to benign prostatic hypertrophy (BPH). LUTS management consumes a growing portion of medical expenditures and is expected to more than double in the next 25 years. In the present day, this problem is likely to be initially treated by a primary care physician with only cases refractory to initial therapy referred to the urologist for consideration of further treatment. Given that over 12.5 million visits per year are related to BPH/LUTS-related management, it is imperative that the primary care physician have knowledge of the etiology, differential diagnosis, evaluation, and treatment of this common complaint. This chapter serves to review the most up-to-date management guidelines as recommended by the American Urologic Association (AUA), focusing on the essentials for the primary care physician.
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Selected Readings
Bent S, Kane C, Shinohara K, et al. Saw palmetto for benign prostatic hyperplasia. N Eng J Med. 2006;354(6):557–66.
Gravas S, Bachmann A, Reich O, Roehrborn CG, Gilling PJ, De La Rosette J. Critical review of lasers in benign prostatic hyperplasia (BPH). BJU Int. 2011;107(7):1030–43.
Kaplan SA, Wein AJ, Staskin DR, Roehrborn CG, Steers WD. Urinary retention and post-void residual urine in men: separating truth from tradition. J Urol. 2008;180(1):47–54.
McVary KT, Roehrborn CG, Avins AL, et al. Update on AUA guideline on the management of benign prostatic hyperplasia. J Urol. 2011;185(5):1793–803.
Nichol MB, Knight TK, Wu J, Barron R, Penson DF. Evaluating use patterns of and adherence to medications for benign prostatic hyperplasia. J Urol. 2009;181(5):2214–21 [discussion 2221–2].
Roehrborn CG. BPH progression: concept and key learning from MTOPS, ALTESS, COMBAT, and ALF-ONE. BJU Int. 2008;101 Suppl 3:17–21.
Wei JT, Calhoun E, Jacobsen SJ. Urologic diseases in America project: benign prostatic hyperplasia. J Urol. 2005;173(4):1256–61.
Weiss JP, Blaivas JG, Bliwise DL, et al. The evaluation and treatment of nocturia: a consensus statement. BJU Int. 2011;108(1):6–21.
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Elliott, C.S., Payne, C.K. (2012). Evaluation and Treatment of Male Lower Urinary Tract Symptoms. In: Potts, J. (eds) Essential Urology. Current Clinical Urology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-62703-092-2_14
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DOI: https://doi.org/10.1007/978-1-62703-092-2_14
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