Abstract
Benign prostatic hyperplasia (BPH) with lower urinary tract symptoms (LUTS) is one
of the most common ailments affecting aging men. Symptoms typically associated with
BPH include weak stream, hesitancy, urgency, frequency, and nocturia. More serious
complications of BPH include urinary retention, gross hematuria, bladder calculi,
recurrent urinary tract infection, obstructive uropathy, and renal failure. Evaluation
of BPH includes a detailed history, objective assessment of urinary symptoms with
validated questionnaires, and measurement of bladder function parameters, including
uroflowmetry and postvoid residual. In general, treatment of LUTS associated with
BPH is based on the effect of the symptoms on quality of life (QOL) and include medical
therapy aimed at reducing outlet obstruction or decreasing the size of the prostate.
If medical therapy fails or is contraindicated, various surgical options exist. As
the elderly population continues to grow, the management of BPH will become more common
and important in maintaining patient's QOL.
Keywords
benign prostatic hyperplasia - lower urinary tract symptoms - transurethral resection
of the prostate - interventional radiology