Assessment and management of male lower urinary tract symptoms (LUTS).

摘要: Male lower urinary tract symptoms (LUTS) are common, causing significant bother and impair quality of life. LUTS a spectrum that may or not be due to benign prostatic obstruction (BPO). divided into storage, voiding post micturition symptoms, which each need considered in terms impact, mechanism treatment options. In most patients, mixture is present. order have better insight about affecting life, thorough evaluation should include medical history, examination, validated symptom questionnaires, bladder diary, flow rate (with void residual measurement). Other tests, particularly urodynamic tests needed guide selection, for surgery. Management male tailored according the underlying mechanisms. Different modalities available individual patient preference. These range from watchful waiting, behavioral dietary modifications, and/or medications - either as monotherapy combination. Surgery relieve BPO where patients bothersome LUTS, willing accept risks associated with irreversible treatment. Interventions storage available, but must selected judiciously, using particular caution if nocturia prominent. achieve outcomes, rational stepwise approach decision making needed.