The goal of this paper is to summarize existing literature on prevalence of lower urinary tract symptoms (LUTS) that may be attributed to benign prostatic hyperplasia (BPH, LUTS/BPH), factors associated with seeking treatment and treatment success, and subjective and objective methods of evaluating LUTS.
Men primarily seek treatment for LUTS/BPH because bother overcomes barriers to treatment. Factors such as severity, bother, or persistence of symptoms primarily motivate individuals to seek treatment, while low-symptom severity mainly leads individuals to not seek treatment. Among men that seek treatment, nocturia and storage symptoms predominate. LUTS are assessed with self-report questionnaires; subjective evaluations translate moderately well to objective measurements of LUTS severity. Current symptom classifications and patient groupings may be overly simplified and not evidence-based. Further studies evaluating novel symptom clusters and patient-centered BPH treatment approaches can guide future treatment.
Current urology reports. 2020 Oct 30*** epublish ***
Alex Landau, Charles Welliver
Division of Urology, Albany Medical College, 23 Hackett Blvd, Albany, NY, 12208, USA., Division of Urology, Albany Medical College, 23 Hackett Blvd, Albany, NY, 12208, USA. .