Guideline for the Primary Care Management of Male Lower Urinary Tract Symptoms

May 2004 in “ British Journal of Urology ”

Mark J. Speakman, Roger Kirby, A.D. Joyce, Paul Abrams, Richard Pocock

5α-reductase inhibitor alpha-adrenergic blocker benign prostatic hyperplasia urinary retention chronic nonbacterial prostatitis finasteride lower urinary tract symptoms nocturia BPH LUTS

TLDR Dual therapy with specific medications can help manage male urinary symptoms and reduce side effects.

The document discussed guidelines for the primary care management of male lower urinary tract symptoms (LUTS), highlighting the potential benefits of dual therapy with a 5α-reductase inhibitor and an alpha-adrenergic blocker to reduce the risk of side effects from benign prostatic hyperplasia (BPH), such as urinary retention. It also mentioned a randomized placebo-controlled study on the use of finasteride for chronic nonbacterial prostatitis, emphasizing the need for cautious evaluation of treatments due to the lack of comparative trials. Additionally, the document noted ongoing interest in the epidemiology and severity grading of LUTS symptoms like frequency and nocturia.

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research The Effect of Finasteride on the Risk of Acute Urinary Retention and the Need for Surgical Treatment Among Men with Benign Prostatic Hyperplasia

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