Benign prostatic hyperplasia and male lower urinary symptoms: A guide for family physicians
June 2017
in “
Asian journal of urology
”
TLDR Family doctors can manage older men with urinary symptoms using exams, tests, and medications.
Family physicians increasingly managed male patients with lower urinary tract symptoms (LUTS) and benign prostatic hyperplasia (BPH) due to ageing populations. Effective management involved thorough history taking, physical exams, specific blood or urine tests, and recognizing red flags for specialist referral. Ideal candidates for community management were men over 40 with symptoms like nocturia, slow stream, and incomplete voiding, normal prostate-specific antigen levels, no palpable bladder, and no haematuria or pyuria. The document also discussed the use of α blockers, 5-α reductase inhibitors, and antibiotics in primary care for BPH.
