Diagnostic Work-Up of Lower Urinary Tract Symptoms

Sarah L. Hecht, Jason Hedges

Research output: Contribution to journalReview article

Abstract

The goal of work-up of lower urinary tract symptoms is to establish the severity and cause of lower urinary tract symptoms and to predict with certainty which patients will respond to which treatments. Clinical guidelines exist to guide urologists in decision-making. All patients need a medical history with a validated symptom score, a physical examination, and a urinalysis. Prostate-specific antigen, postvoid urine residual, and peak urine flow rate provide additional information at little cost. For more invasive testing high-level data are lacking and guidelines defer to the urologist. Even the most extensive work-up is imperfect, and thus the attempt to balance costs with benefits of invasive testing.

Original languageEnglish (US)
Pages (from-to)299-309
Number of pages11
JournalUrologic Clinics of North America
Volume43
Issue number3
DOIs
StatePublished - Aug 1 2016

Fingerprint

Lower Urinary Tract Symptoms
Urine
Guidelines
Urinalysis
Prostate-Specific Antigen
Physical Examination
Cost-Benefit Analysis
Decision Making
Costs and Cost Analysis
Urologists
Therapeutics

Keywords

  • Benign prostatic hyperplasia
  • Bladder outlet obstruction
  • Diagnosis
  • Lower urinary tract symptoms
  • Prostatic enlargement
  • Testing
  • Work-up

ASJC Scopus subject areas

  • Urology

Cite this

Diagnostic Work-Up of Lower Urinary Tract Symptoms. / Hecht, Sarah L.; Hedges, Jason.

In: Urologic Clinics of North America, Vol. 43, No. 3, 01.08.2016, p. 299-309.

Research output: Contribution to journalReview article

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