کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3804988 1245139 2011 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Management of lower urinary tract symptoms and bladder outlet obstruction
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
پیش نمایش صفحه اول مقاله
Management of lower urinary tract symptoms and bladder outlet obstruction
چکیده انگلیسی

Lower urinary tract symptoms (LUTS) affect more than 60% of men and women aged over 40. Symptoms may be classed as storage, voiding or post-micturition and have a variety of systemic, neurological, drug-related or urological causes. There is growing evidence that the metabolic syndrome is linked to LUTS.Evaluation of LUTS should follow a structured system, with symptom scores and frequency/volume charts used in initial assessment. Several features have been identified as risk factors for progression of LUTS and risk stratification using these factors can aid in planning management. For example, a high-normal prostate-specific antigen may suggest a higher risk of progression to acute urinary retention.Many patients with LUTS will require no treatment. If indicated, first-line treatment of LUTS should be conservative, then medical, involving selective α-blockers, 5-α reductase inhibitors, antimuscarinics, or a combination of these. Phosphodiesterase-5 inhibitors may improve symptom scores and quality of life but require further investigation before routine use in LUTS.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Medicine - Volume 39, Issue 7, July 2011, Pages 378–383
نویسندگان
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