Male Lower Urinary Tract Symptoms: Is Surgery Always Necessary?

A transurethral resection of the prostate is a good operation to relieve bladder outflow obstruction and has a low incidence of complications. However, recent work suggests that many men with symptoms may not require an operation, and it can probably be delayed in a majority for many years. This may...

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Published in:Gerontology (Basel) 1998, Vol.44 (2), p.61-66
Main Authors: Assassa, R.P., Osborn, D.E., Castleden, C.M.
Format: Article
Language:English
Subjects:
Adrenergic alpha-Antagonists - therapeutic use
Biological and medical sciences
Decision Making
Enzyme Inhibitors - therapeutic use
Humans
Male
Medical sciences
Nephrology. Urinary tract diseases
Prostatic Diseases - drug therapy
Prostatic Diseases - surgery
Review
Tumors of the urinary system
Urinary Retention - drug therapy
Urinary Retention - surgery
Urinary tract. Prostate gland
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creator Assassa, R.P.
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description A transurethral resection of the prostate is a good operation to relieve bladder outflow obstruction and has a low incidence of complications. However, recent work suggests that many men with symptoms may not require an operation, and it can probably be delayed in a majority for many years. This may be particularly important in old and frail patients. Many men with outflow obstruction have irritative symptoms such as urgency, frequency and nocturia; these could be treated with anticholinergics, provided they have normal flow rates and small or absent residual urine volumes. Pharmacological treatment to relieve outflow obstruction is disappointing. There may be some benefit from α-adrenoreceptor antagonists, but the place for 5α-reductase inhibitors is still unsure. All drugs have side effects which are unacceptable in patients who are not bothered by their urinary symptoms and can wait for active treatment.
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subjects Adrenergic alpha-Antagonists - therapeutic use
Biological and medical sciences
Decision Making
Enzyme Inhibitors - therapeutic use
Humans
Male
Medical sciences
Nephrology. Urinary tract diseases
Prostatic Diseases - drug therapy
Prostatic Diseases - surgery
Review
Tumors of the urinary system
Urinary Retention - drug therapy
Urinary Retention - surgery
Urinary tract. Prostate gland
title Male Lower Urinary Tract Symptoms: Is Surgery Always Necessary?
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