Bph/luts

Question 1

What are the three categories of LUTS symptoms?

Answer 1

Voiding (obstructive)
Storage (irritative)
Post- micruration

Question 2

What is BPH

Answer 2

Benign prostatic hyperplasia
It’s now called hyperplasia since the prostate isn’t always enlarged but there is a proliferation of glandular tissue, smooth muscle, and connective tissue

Question 3

What is the differential diagnosis of LUTS

Answer 3

Urethra
•Stricture
Prostate
•Prostatitis
•BPH
Bladder
•Bladder cancer
•UTI
•Interstitial cystitis
•Mass effect
•Reduced detrusor contractility/Neurogenic bladder
•OAB
Kidney stone blocking bladder outlet
Polyuria
•Diabetes , hypercalcemia, etc
•Nocturnal Polyuria

Question 4

What are the top comorbidities that can influence LUTS symptoms

Answer 4

Diabetes
OSA

Question 5

What are the top meds to consider with LUTS symptoms

Answer 5

Diuretics
Antihistamine/cholinergics
Decongestants
Opioids

Question 6

Top lifestyle recommendations for LUTS

Answer 6

Reduce fluid around bedtime
Avoid bladder irritants like alcohol, caffeine, and spicy food
Treat constipation
Kegal for those with irritative(storage) and OOB
Weight loss is not mentioned as a treatment - but Imagine it must have in impact for some subtypes