PMID: 15373173Sep 18, 2004Paper

Do urologists apply benign prostatic hyperplasia clinical practice guidelines? Survey on the complementary investigation request modalities in France

Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie
Alexandre de la TailleOlivier Haillot

Abstract

In an attempt to standardize clinical practice, a number of authorities (American, European, international) have published guidelines for the assessment and treatment of men with lower urinary tract symptoms (LUTS) related to BPH. In order to determine the impact of these guidelines on daily practice, we conducted a survey of the initial management of BPH by French Urologists. A clear and simple clinical situation was defined and sent to the 796 urologists members of the Association Française d'Urologie: a 65-year-old man presenting with moderate and bothersome lower urinary tract symptoms (LUTS) suggestive of BPH. Various items concerning the choice of complementary investigations were proposed. The last question evaluated the first-line drug prescription. The replies were then analysed as a function of the type of practice and the urologist's age. 184 urologists answered the questionnaire. The mean age of the responding urologists was 47.5 years. 31.6% of responses were derived from hospital urologists, 52.2% from private urologists and 16.2% from urologists with a mixed practice, which corresponds to the distribution of urology practices in France. Assessment of BPH comprised clinical interview and digital rectal examination...Continue Reading

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