Management of Benign Prostatic Hyperplasia/Lower Urinary Tract Symptoms
Publication Date: September 13, 2023
Last Updated: September 18, 2023
Evaluation
Initial Evaluation
1. In the initial evaluation of patients presenting with bothersome LUTS possibly attributed to BPH, clinicians should obtain a medical history, conduct a physical examination, utilize the International Prostate Symptom Score (IPSS), and perform a urinalysis.
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2. Patients should be counselled on options for intervention, which can include behavioral/lifestyle modifications, medical therapy and/or referral for discussion of procedural options.
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Preoperative Testing
5. Clinicians should consider assessment of prostate size and shape via transrectal or abdominal ultrasound, cystoscopy, or cross-sectional imaging (i.e., magnetic resonance imaging [MRI]/ computed tomography [CT]) if such studies are available, prior to intervention for LUTS/BPH.
(Clinical Principle, )322859
Title
Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia (BPH)
Authoring Organization
American Urological Association