BPH: Management of LUTS

Question 1

In the initial evaluation of patients presenting with bothersome LUTS possibly attributed to BPH, clinicians should obtain what initial components?

Answer 1

Medical history
Physical examination
International Prostate Symptom Score (IPSS)
Urinalysis

Question 2

Patients should be counseled on options for BPH intervention, which can include what?

Answer 2

Behavioral/lifestyle modifications
Medical therapy
And/or referral for discussion of procedural options

Question 3

After receiving treatment for BPH, when should patients be re-evaluated by their provider to assess response to therapy?

Answer 3

Patients should be evaluated by their providers 4-12 weeks after initiating treatment to assess response to therapy. (provided adverse events do not require earlier consultation)

Question 4

What should re-evaluation include when patients follow-up after BPH treatment?

Answer 4

Revaluation should include the IPSS. Further evaluation may include a post-void residual (PVR) and uroflowmetry.