Initial management of lower urinary tract symptoms

DRE: digital rectal examination; LUTS: lower urinary tract symptoms; PSA: prostate-specific antigen.

* When life expectancy is >10 years and if the diagnosis of prostate cancer can modify the management.

¶ When significant nocturia is a predominant symptom.

Δ Assess and start treatment before referral.

◊ In practice, advise patients with symptoms to aim for a urine output of about 1 liter/24 hours.

Reproduced with permission from: Abrams, P, Chapple, C, Khoury, S, et al. Evaluation and treatment of lower urinary tract symptoms in older men. J Urol 2009; 181:1779. Illustration used with the permission of Elsevier Inc. All rights reserved.

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