LUTS

Question 1

List some of the common LUTS

Answer 1

Obstructive/voiding symptoms
➢ Hesitancy
o Delay before urine begins flowing
➢ Weak stream
➢ Interrupted stream (intermittency)
➢ Incomplete emptying
➢ Post-micturition dribbling
o A few drops of urine drip out after patient thinks they have finished voiding
Irritative/storage symptoms
➢ Frequency
➢ Urgency
o Inability to delay voiding
➢ Nocturia
o 2 or more voids at night
➢ Urge incontinence
➢ Dysuria

Question 2

What is the most common cause of obstructive sx in men and in women

Answer 2

Men
Strictures
BPE -ca/bph
Bladder neck contracture

Women
Bladder prolapse
Urethral obstruction - urethra ca, diverticulum)

Question 3

List some of the complications of incomplete emptying and chronic retention

Answer 3

➢ Chronic renal failure
➢ Infection
➢ Bladder calculus
➢ Urinary retention
o Acute
o Chronic
➢ Bladder diverticulum

Question 4

It’s some of the irritation causes of LUTS

Answer 4

UTI
Radiation
Carcinoma in situ
Overactive bladder
Bladder outflow obstruction
Neuropathic bladder
Small bladder capacity -post genitourinary TB, Interstitial cystitis
Proximal: PID, Endometriosis, Appendicitis