Lower Urinary Tract Symptoms Flashcards
What are lower urinary tract symptoms?
Symptoms that affect the control and quality of micturition
What are male causes of LUTS?
BPH
UTI
Urological malignancy
Detrusor muscle weakness
What are female causes of LUTS?
UTI
Menopause
Urological malignancy
Detrusor muscle weakness
Classification of LUTS
Storage symptoms
Voiding symptoms
What are the storage symptoms?
Increased urgency
Nocturia
Increased sense of urgency
Urge incontinence
What are the voiding symptoms?
Hesitancy Poor flow Straining Terminal dribbling Incomplete emptying
Investigations for LUTS
Post-void bladder scan
Urinalysis
Urine culture
Conservative management of LUTS
Management of underlying cause
Regulate fluid intake
Pelvic floor exercises
Bladder training
Pharmacological management of LUTS
Anticholinergics
- over active bladder
- oppose parasympatheritc cholinergic control
Alpha blockers
- for BPH
- relax prostatic muscle