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Updated: Jun 26, 2025

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
Enhanced Clinical Decisions for Management of Benign Prostatic Hyperplasia using Patient-Reported Outcomes: Protocol
Alexander P Glaser1, Abigail R Smith2, Dacey Maglaque1
1NorthShore University HealthSystem.
This study integrates enhanced patient-reported outcomes (PROs) to improve assessment and management of lower urinary tract symptoms (LUTS) in men with benign prostatic hyperplasia (BPH). Findings aim to refine personalized care and clinical guidelines for better patient outcomes.
Area of Science:
- Urology
- Patient-Reported Outcomes Research
- Health Services Research
Background:
- Lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH) significantly impact quality of life in older men.
- Current assessment tools like the American Urological Association Symptom Index (AUA-SI) have limitations, omitting key symptoms such as pain and incontinence.
- There is a need for comprehensive patient-reported outcome (PRO) tools to better capture the full spectrum of LUTS and improve patient care.
Approach:
- Prospective observational study recruiting men aged ≥ 50 years with LUTS secondary to BPH.
- Utilizing the LURN Symptom Index (SI)-29 alongside AUA-SI and other non-urologic PROs for broad symptom evaluation.
- Collecting data via electronic health records and PROs, analyzing predictive power for symptom trajectories and treatment responses.
Key Points:
- Integrating enhanced PROs into routine clinical practice to refine symptom assessment and treatment monitoring.
- Examining psychometric properties of LURN SIs, including reliability and clinically meaningful differences.
- Developing care-coordination recommendations for managing persistent symptoms and comorbidities.
Conclusions:
- This study is expected to improve personalized care strategies for LUTS/BPH management.
- Findings may lead to updates in clinical guidelines and enhanced health management for affected men.
- Revolutionizing LUTS/BPH management through nuanced insights into patient experiences and outcomes.
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