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Lower urinary tract symptoms

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A thorough history taking, establishing exactly wh A thorough history taking, establishing exactly what symptoms the patient is experiencing, is essential to guide therapy

The term lower urinary tract symptoms (LUTS) refers to problems related to storage, voiding and post-micturition.

In the majority of cases, men experiencing LUTS have benign prostate enlargement (benign prostatic hyperplasia), which results in bladder outflow obstruction.1 Other causes of LUTS are urinary tract infection (UTI), malignancy, neurological disorders, prostatitis and detrusor muscle weakness or overactivity.1 The symptoms may be a significant cause of morbidity. There may be an underlying malignancy.

The prevalence of LUTS increases with age, and it affects about one third of men over the age of 65.1 It is also estimated that up to one third of men aged over 50 have moderate to severe LUTS.2 Furthermore, as a man ages the severity of LUTS increases.

LUTS may be multifactorial and most cases can be managed in the primary care setting with conservative
and/or medical treatment.

Clinical assessment
In the initial assessment, the healthcare professional should establish whether LUTS relates to storage problems, voiding and/or post-micturition symptoms.

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