Benign prostatic hyperplasia. Part 1--Diagnosis

doi:10.1136/bmj.39421.685023.AE

BMJ 2008;336:146-149 (19 January), doi:10.1136/bmj.39421.685023.AE

Clinical Review

Benign prostatic hyperplasia. Part 1—Diagnosis

Timothy J Wilt, professor of medicine¹, James N’Dow, professor of urology²

¹ Center for Chronic Disease Outcomes Research, 1 Veterans Drive (111-0), Minneapolis, MN 55417, USA, ² Academic Urology Unit, University of Aberdeen, Foresterhill, Aberdeen AB25 2ZD

Correspondence to: T J Wilt tim.wilt@med.va.gov

The first 150 words of the full text of this article appear below.

Lower urinary tract symptoms are bothersomeyet often under-reported by older men

Symptom severity generallyprogresses over time but is rarely life threatening

Many clinicaland lifestyle factors can cause or worsen the symptoms but canbe modified by simple interventions

Asking about how bothersomethe symptoms are and how they affect the patient’s qualityof life is useful for considering whether to suggest additionaltreatment

Benign prostatic hyperplasia does not increase riskof prostate cancer but is associated with higher levels of prostatespecific antigen

These levels are associated with prostatevolume and may be useful when combined with symptom and healthstatus measures for assessing potential effectiveness of treatmentoptions

Most men can be assessed and treated by primary careclinicians on the basis of the severity of their symptoms andhow bothersome they are

Additional diagnostic evaluations includediaries, uroflowmetry, bladder pressure studies, urinary tractimaging, and . . . [Full text of this article]

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