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Lower urinary tract symptoms and benign prostatic hyperplasia
A Skolarikos1, A C Thorpe, D E Neal
1Second Department of Urology, University of Athens, Sismanoglio Hospital, Athens, Greece.
Summary
Benign prostatic hyperplasia (BPH) causes lower urinary tract symptoms (LUTS). Accurate diagnosis is key for effective treatment, distinguishing BPH from other causes to guide management strategies.
Area of Science:
- Urology
- Medical Diagnostics
Background:
- Benign prostatic hyperplasia (BPH) is a primary cause of lower urinary tract symptoms (LUTS).
- Other conditions like smooth muscle dysfunction and neurological factors can also cause LUTS, necessitating differential diagnosis.
Purpose of the Study:
- To review the pathophysiology of BPH.
- To outline current diagnostic approaches and management strategies for LUTS attributed to BPH.
Main Methods:
- Detailed symptom recording, focusing on quality of life impact.
- Utilizing carefully selected diagnostic tests.
- Review of existing literature on BPH pathophysiology and treatment.
Main Results:
- Accurate diagnosis is crucial before selecting invasive treatments.
- Mild to moderate symptoms without complications are managed medically.
- Persistent symptoms or complications require further investigation and potentially invasive treatments.
Conclusions:
- Comprehensive symptom assessment and diagnostic testing are essential for correct BPH diagnosis.
- Treatment selection depends on symptom severity and presence of complications.
- Understanding BPH pathophysiology guides effective management.