Lower Urinary Tract Symptoms in Men with BPH

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Explain the significance of dividing lower urinary tract symptoms (LUTSs) into irritative and obstructive categories.

Dividing LUTSs into irritative and obstructive categories helps understand the underlying cause and stage of the disease, as irritative symptoms typically occur late in the disease course due to long-standing obstruction at the bladder neck.

Describe the potential causes of LUTSs other than benign prostatic hyperplasia (BPH).

Other potential causes of LUTSs include bladder cancer or stones, urinary tract infection (UTI), and urethral stricture.

Explain the relationship between obstructive symptoms and the term 'prostatism' or 'bladder outlet obstruction'.

Obstructive symptoms, such as poor urinary flow, hesitancy in initiation of micturition, post-micturition dribble, and sensation of incomplete emptying, are also referred to as 'prostatism' or 'bladder outlet obstruction'.

Describe the potential consequence of long-standing obstruction at the bladder neck and its associated symptom.

Long-standing obstruction at the bladder neck can result in irritative symptoms, such as frequency (urination eight or more times a day), nocturia (the inability to delay urination), urgency, and urge incontinence (the inability to delay urination and the accidental loss of urine).

Explain the potential complication of acute retention of urine and its associated symptom.

Occasional acute retention of urine, requiring emergency treatment, can result in suprapubic pain due to bladder overdistension.

Discuss the impact of lower urinary tract symptoms (LUTSs) on the quality of life of men with benign prostatic hyperplasia (BPH).

Men with BPH can develop bothersome LUTSs that can impact negatively on their quality of life.

Men with BPH can develop bothersome lower urinary tract symptoms (LUTSs) that can impact negatively on their quality of _____.

life

LUTSs can have different aetiologies including bladder cancer or stones, urinary tract infection (UTI) or urethral _____.

stricture

Irritative symptoms typically occur late in the disease course; and result from long-standing obstruction at the bladder _____.

neck

Frequency (urination eight or more times a day) Nocturia (the inability to delay urination) Urgency and urge incontinence are symptoms of failure of urine _____.

storage

Obstructive symptoms include poor urinary flow (weak urine stream), hesitancy in initiation of micturition, and sensation of incomplete _____.

emptying

Suprapubic pain can result from bladder _____.

overdistension

Learn about the bothersome lower urinary tract symptoms (LUTSs) in men with benign prostatic hyperplasia (BPH), and how they can impact quality of life. Explore the different etiologies of LUTSs, including bladder cancer, stones, urinary tract infection (UTI), and urethral stricture. Understand the two main categories of LUTSs: irritative symptoms related to urine storage failure, and obstructive or voiding symptoms due to failure to empty the bladder.

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