Education And Debate

Fortnightly Review: Managing lower urinary tract symptoms in older men

BMJ 1995; 310 doi: (Published 29 April 1995) Cite this as: BMJ 1995;310:1113
  1. Paul Abrams, consultant urologista
  1. a Bristol Urological Institute, Southmead Hospital, Bristol BS10 5NB


    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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