Fortnightly Review: Managing lower urinary tract symptoms in older men
BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6987.1113 (Published 29 April 1995) Cite this as: BMJ 1995;310:1113- Paul Abrams, consultant urologista
Abstract
Summary points
The presence of lower urinary tract symptoms does not indicate bladder outlet obstruction
Size of the prostate does not correlate with bladder outlet obstruction: small prostates may cause severe obstruction
Bothersomeness and effect on quality of life are the preferred indicators for treatment
Conservative treatment is justified by the long clinical course of the conditions
Drugs are of some help and are becoming safer
Transurethral resection of the prostate is the only procedure known to give good long term results
New alternatives to transurethral resection of the prostate should only be used within the context of randomised controlled trials at present
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