Fake News BPH - what is really true!

Der Urologe. Ausg. A
M OelkeK Höfner

Abstract

Lower urinary tract symptoms suggestive of benign prostatic hyperplasia (LUTS/BPH) is the fourth most common and the fifth most costly disease in men aged 50 years or older. Despite the high prevalence of LUTS/BPH in clinical practice and evidence-based guideline recommendations, there are still plenty of misconceptions on the terminology and pathophysiology of the disease, leading to false assumptions and malpractice. Listing of commonly used false assumptions and clarification of the correct terminology and pathophysiology. Critical reflection of 12 selected fake news based on PubMed search. Average prostate weight in healthy men is 20 g but varies between 8-40 g. The BPH-disease does not progress in stages; therefore, the BPH-classifications according Alken or Vahlensieck should not be used anymore. There is only a weak and inconsistent relationship between bladder outlet obstruction (BOO) and prostate size, diverticula/pseudo-diverticula, postvoid residual, urinary retention or renal insufficiency, which is too unreliable for BOO-diagnosis in the individual patient. Urethro-cystoscopy with grading of the degrees of occlusion of the prostatic urethra and bladder trabeculation is insufficient for BOO-diagnosis. There is no cl...Continue Reading

References

Apr 1, 1979·British Journal of Urology·P H Abrams, D J Griffiths
Jan 1, 1976·British Journal of Urology·P H AbramsR C Feneley
Apr 13, 1991·BMJ : British Medical Journal·J B Anderson, J B Grant
Jan 1, 1989·The Prostate. Supplement·T Hald
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Apr 26, 2003·Der Urologe. Ausg. A·R BergesUNKNOWN DGU-Leitlinienkommission
Feb 16, 2005·The Journal of Urology·Andrew D RuleSteven J Jacobsen
Jul 20, 2005·Scandinavian Journal of Primary Health Care·Gabriella Barabas, Sigvard Mölstad
Mar 7, 2006·The Journal of Urology·E David CrawfordUNKNOWN MTOPS RESEARCH Group
Dec 20, 2007·Current Opinion in Urology·Stavros GravasMichael D Melekos
Mar 12, 2008·Journal of the American Geriatrics Society·Ragnhild OmliEsther Kuhry
May 20, 2008·The Journal of Urology·Steven A KaplanWilliam D Steers
Dec 24, 2009·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Alberto A AntunesGeraldo de C Freire
May 24, 2011·Urology·Seth A StropeUNKNOWN Urologic Diseases in America Project
Mar 15, 2012·Neurourology and Urodynamics·Matthias OelkeJohn Heesakkers
Jan 18, 2013·World Journal of Urology·Maximilian RomTobias Klatte

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Citations

Mar 2, 2019·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·Jörg SchellingLinda Sanftenberg
Jun 9, 2020·Der Radiologe·Attila Kovács
Apr 3, 2020·Der Urologe. Ausg. A·Friedrich H Moll, Matthias Oelke

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