Management of persistent lower urinary tract symptoms

This algorithm describes the management of persistent LUTS despite initial therapy with lifestyle interventions and/or single-drug therapy. Please refer to related UpToDate content for further details.

BOO: bladder outlet obstruction; LUTS: lower urinary tract symptoms; MIST: minimally invasive surgical treatment; OAB: overactive bladder; PSA: prostate-specific antigen.

* Beta-3 adrenergic agonists are our preferred agents as they have a more favorable safety profile and do not carry a risk of urinary retention. Please refer to related UpToDate content for further details.

¶ PSA <1.5 ng/mL.

Δ PSA >1.5 ng/mL.

Original figure modified for this publication. 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.

Graphic 60795 Version 5.0

UpToDate خرید پکیج

Management of persistent lower urinary tract symptoms

خرید پکیج