Benign prostatic hyperplasia : treatment in primary care

The treatment of lower urinary tract symptoms that are suggestive of bladder outflow obstruction, secondary to benign prostatic hyperplasia, should aim to relieve symptoms and improve quality of life, as well as attempt to prevent progression of clinical disease and the development of complications....

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Veröffentlicht in:BMJ (British Medical Journal) 2006-09, Vol.333 (7567), p.535-539
Hauptverfasser: PATEL, Anand K, CHAPPLE, Christopher R
Format: Artikel
Sprache:eng
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Zusammenfassung:The treatment of lower urinary tract symptoms that are suggestive of bladder outflow obstruction, secondary to benign prostatic hyperplasia, should aim to relieve symptoms and improve quality of life, as well as attempt to prevent progression of clinical disease and the development of complications. These benefits need to be balanced against potential side effects of treatment. Patients with mild symptoms that have little impact on quality of life and who have no evidence of complications can be managed conservatively. They should be advised to reduce fluid intake and avoid caffeinated drinks and alcohol if appropriate. This requires the use of frequency and voiding charts. It may be helpful to review the drugs they are taking, such as diuretics, and any impairment of mental state, dexterity, or mobility should be optimised to limit the impact on quality of life. Patients selected for watchful waiting should be encouraged to seek medical advice if their symptoms deteriorate, so appropriate treatment can be initiated promptly. Tables, References. Adapted from the source document.
ISSN:0959-8146
0959-535X
0959-8138
1756-1833
1468-5833
DOI:10.1136/bmj.38946.616551.BE1