Management of Benign Prostatic Hyperplasia

Annual Review of Medicine
Eric H KimGerald L Andriole

Abstract

Benign prostatic hyperplasia (BPH) and associated lower urinary tract symptoms (LUTS) commonly affect older men. Age-related changes associated with metabolic disturbances, changes in hormone balance, and chronic inflammation may cause BPH development. The diagnosis of BPH hinges on a thorough medical history and focused physical examination, with attention to other conditions that may be causing LUTS. Digital rectal examination and urinalysis should be performed. Other testing may be considered depending on presentation of symptoms, including prostate-specific antigen, serum creatinine, urine cytology, imaging, cystourethroscopy, post-void residual, and pressure-flow studies. Many medical and surgical treatment options exist. Surgery should be reserved for patients who either have failed medical management or have complications from BPH, such as recurrent urinary tract infections, refractory urinary retention, bladder stones, or renal insufficiency as a result of obstructive uropathy.

References

Apr 1, 1979·British Journal of Urology·P H Abrams, D J Griffiths
Aug 1, 1988·The American Journal of Surgical Pathology·J E McNeal
Dec 1, 1988·British Journal of Urology·N C BirchP T Doyle
Sep 23, 1989·BMJ : British Medical Journal·D E NealR J Webb
Nov 1, 1987·The Journal of Urology·I M Thompson
Mar 1, 1968·American Journal of Clinical Pathology·J E McNeal
Sep 1, 1984·The Journal of Urology·S J BerryL L Ewing
Jul 1, 1994·Biology of Reproduction·K T McVaryK E McKenna
Aug 1, 1997·The Journal of Urology·S J JacobsenM M Lieber
Feb 25, 1998·The Journal of Urology·O J KesslerA Abramovici
May 8, 1999·BJU International·S Madersbacher, M Marberger
Dec 19, 2003·The New England Journal of Medicine·John D McConnellUNKNOWN Medical Therapy of Prostatic Symptoms (MTOPS) Research Group
Feb 10, 2004·The Journal of Urology·Claus G RoehrbornUNKNOWN Proscar Long-Term Efficacy and Safety Study Group
Mar 11, 2005·The Journal of Urology·John T WeiSteven J Jacobsen
Oct 18, 2005·BJU International·Andreas P BergerFerdinand Frauscher
Feb 10, 2006·The New England Journal of Medicine·Stephen BentAndrew L Avins
Apr 8, 2006·The Journal of Urology·H BaumertA V Kaisary
Dec 22, 2006·European Urology·Gero KramerMichael Marberger

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Citations

Aug 2, 2017·The Aging Male : the Official Journal of the International Society for the Study of the Aging Male·Chen-Pang HouKe-Hung Tsui
Nov 27, 2019·International Journal of Clinical Practice·Samer Fathi Al RawashdahAntonio Carbone
Sep 30, 2020·Lower Urinary Tract Symptoms·Remzi SalarHalil Ferat Öncel
Sep 24, 2020·Case Reports in Psychiatry·Hannah MirzakhaniJacob Mathew
Apr 9, 2019·The Aging Male : the Official Journal of the International Society for the Study of the Aging Male·Luis Fernando Valladales-Restrepo, Jorge Enrique Machado-Alba
Jul 31, 2020·International Journal of Molecular Sciences·Romane FlorentMonique N'Diaye
Jul 17, 2020·Cancers·Francesco BonolloSofia Karkampouna
Nov 22, 2020·Prostate Cancer and Prostatic Diseases·Weiqiang Li, Robert J Klein
Mar 19, 2020·Journal of Endourology·Mohammed ShahaitDavid I Lee
Mar 28, 2021·Proceedings of the National Academy of Sciences of the United States of America·Wan-Fu WuJan-Ake Gustafsson
Jul 3, 2021·Molecules : a Journal of Synthetic Chemistry and Natural Product Chemistry·Dong-Hui ParkMin-Won Lee
Aug 27, 2021·Oncology Letters·Wenjing XuQihua Chen
Aug 21, 2020·Journal of Biomedical Informatics·Anastasiia KabeshovaStéphane Gaïffas

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