AUAGL BPH/LUTS (2021)

Question 1

What to do for initial workup?

Answer 1

History, Physical Exam, IPSS, Urinalysis (UA)

Optional: uroflow, PVR, pressure-flow studies (UDS)

[Guideline Statement 1]

Question 2

What are the treatments for BPH/LUTS?

Answer 2

1. Behavioral modification
2. Medical therapy
3. Surgical therapy (refer to urology if PCP managing up to this point)

[Guideline Statement 2]

Question 3

Follow up after initial workup/treatment?

Answer 3

Reevaluate 4-12 weeks after initiation of treatment to assess response. Use IPSS.

May use PVR, uroflow at this point.

[Guideline Statement 3]

Question 4

What do you do for patient failing or not tolerating initial medical therapy?

Answer 4

Change medical therapy or move on to surgical intervention

Trial of alpha blocker or PDE5i for 4 weeks, or 5-ARI for 6-12 months is reasonable to assess for efficacy.

[Guideline Statement 4]