Current consensus and controversy on the treatment of male lower urinary tract symptoms/benign prostatic hyperplasia
Open Access
- 1 January 2017
- journal article
- review article
- Published by Medknow in Tzu Chi Medical Journal
- Vol. 29 (1), 1-5
- https://doi.org/10.4103/tcmj.tcmj_2_17
Abstract
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.Keywords
This publication has 38 references indexed in Scilit:
- Faculty Opinions recommendation of Prostatectomy for benign prostate disease: open, laparoscopic and robotic techniques.Published by H1 Connect ,2019
- Robotic Assisted Simple Prostatectomy versus Holmium Laser Enucleation of the Prostate for Lower Urinary Tract Symptoms in Patients with Large Volume Prostate: A Comparative Analysis from a High Volume CenterJournal of Urology, 2017
- Perioperative Outcomes of Robotic and Laparoscopic Simple Prostatectomy: A European–American Multi-institutional AnalysisEuropean Urology, 2015
- The many faces of impaired bladder emptyingCurrent Opinion in Urology, 2014
- The efficacy of additive tolterodine extended release for 1‐year in older men with storage symptoms and clinical benign proastatic hyperplasiaNeurourology and Urodynamics, 2011
- DETRUSOR INSTABILITY IN MEN: CORRELATION OF LOWER URINARY TRACT SYMPTOMS WITH URODYNAMIC FINDINGSJournal of Urology, 2001
- BPH with coexisting overactive bladder dysfunction—an everyday urological dilemmaNeurourology and Urodynamics, 2001
- Diabetic Cystopathy: Relationship to Autonomic Neuropathy Detected by Sympathetic Skin ResponseJournal of Urology, 1997
- High prevalence of benign prostatic hypertrophy in the communityThe Lancet, 1991
- The Pathophysiology of Urinary Incontinence among Institutionalized Elderly PersonsThe New England Journal of Medicine, 1989