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Current Urology Reports

, Volume 13, Issue 6, pp 474–481 | Cite as

Office Evaluation of Male Patients with Lower Urinary Tract Symptoms

  • Shahin Tabatabaei
  • Saman Shafaat Talab
  • Mahdi Zangi
  • Henry H. Woo
Office Urology (N Shore, Section Editor)
  • 201 Downloads

Abstract

Lower urinary tract symptoms due to benign prostatic hyperplasia (LUTS/BPH) are one of the most common urologic disorders in men. Accurate history-taking and focused physical examination allows us to diagnose the majority of cases. A better understanding of risk factors helps us tailor our treatment and predict outcomes more accurately. Population studies are crucial in our understanding of LUTS/BPH natural history. Temporary prostatic urethral stents that are used for the management of urinary retention may also be used for evaluation of patients with detrusor hypo-contractility. The use of ultrasound to measure intravesical prostatic protrusion (IPP) and the Doppler study for prostate capsular artery resistive index are promising. Near-infrared spectroscopy (NIRS) examines the tissue oxygenation that may be affected by bladder outlet obstruction. The mathematical algorithm needs some fine-tuning, and its reproducibility is debatable. Serum and urinary biomarkers may help us to diagnose the disorder, and more effectively monitor patients’ response to therapy. Among all, IPP is clinically more applicable at this time.

Keywords

Biological markers/blood/urine Lower urinary tract symptoms/diagnosis/etiology Male Middle aged Prostatic hyperplasia/diagnosis Risk factors Spectroscopy, Near-infrared Ultrasonography/standards Urodynamics 

Notes

Disclosure

S. Tabatabaei would like to disclose he has received compensation as a consultant for device development from Smith & Nephew and a research grant for treatment of BPH from Ethicon; S. Talab reported no potential conflicts of interest relevant to this article; M. Zangi reported no potential conflicts of interest relevant to this article; H. Woo would like to disclose he has received compensation as a consultant for American Medical Systems.

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Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Shahin Tabatabaei
    • 1
  • Saman Shafaat Talab
    • 1
  • Mahdi Zangi
    • 2
  • Henry H. Woo
    • 3
  1. 1.Department of UrologyHarvard Medical School, Massachusetts General HospitalBostonUSA
  2. 2.Shahid Beheshti University of Medical SciencesShahrak-GharbIran
  3. 3.Sydney Adventist Hospital Clinical School, University of SydneyWahroongaAustralia

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