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Updated: May 17, 2026
05:25
Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
Appropriate workup for lower urinary tract symptoms in men
1Professor and Vice Chairman, Department of Urology, and Director of Female Pelvic Medicine and Reconstructive Surgery, New York University Langone Medical Center, New York, NY.
Summary
For men experiencing lower urinary tract symptoms (LUTS), a thorough history and physical exam are key initial steps. Advanced tests like urodynamics are reserved for complex or treatment-resistant cases.
Area of Science:
- Urology
- Men's Health
Background:
- Lower urinary tract symptoms (LUTS) are common in men.
- Initial evaluation guides appropriate management strategies.
Purpose of the Study:
- To outline the recommended diagnostic approach for men with LUTS.
- To differentiate the utility of basic versus advanced diagnostic tests.
Main Methods:
- Review of standard diagnostic protocols for LUTS.
- Emphasis on clinical history, physical examination, and simple adjunctive tests.
- Criteria for utilizing urodynamics, cystoscopy, and imaging.
Main Results:
- Basic workup (history, physical, simple tests) is sufficient for most LUTS cases.
- Informed treatment decisions or watchful waiting are often possible post-basic workup.
- Advanced investigations are indicated for diagnostic uncertainty or treatment failure.
Conclusions:
- A stepwise diagnostic approach is effective for managing LUTS in men.
- Judicious use of advanced tests optimizes patient care and resource allocation.
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