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

Clinical Review

Benign prostatic hyperplasia. Part 1—Diagnosis

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

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

Summary points Lower urinary tract symptoms are bothersome yet often under-reported by older men Symptom severity generally progresses over time but is rarely life threatening Many clinical and lifestyle factors can cause or worsen the symptoms but can be modified by simple interventions Asking about how bothersome the symptoms are and how they affect the patient’s quality of life is useful for considering whether to suggest additional treatment Benign prostatic hyperplasia does not increase risk of prostate cancer but is associated with higher levels of prostate specific antigen These levels are associated with prostate volume and may be useful when combined with symptom and health status measures for assessing potential effectiveness of treatment options Most men can be assessed and treated by primary care clinicians on the basis of the severity of their symptoms and how bothersome they are Additional diagnostic evaluations include diaries, uroflowmetry, bladder pressure studies, urinary tract imaging, and . . . [Full text of this article]

What causes lower urinary tract symptoms due to BPH?

What is the prevalence and natural course of lower urinary tract symptoms?

What diagnostic tests should be used routinely in men with lower urinary tract symptoms?

International prostate symptom scale
Scoring system
Questions
Question on quality of life in relation to urinary symptoms

What additional diagnostic tests are used in secondary care?

Diaries
Uroflowmetry
Bladder pressure studies
Urinary tract imaging
Urethrocystoscopy
Sources and selections criteria
Additional educational resources
Ongoing research
Unanswered questions

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