Περίληψη:
Objective:To establish guidelines for the diagnosis, treatment, and
follow-up of BPH.
Methods:A search of published work was conducted using Medline. In
combination with expert opinions, recommendations were made on the
usefulness of tests for assessment and follow-up: mandatory,
recommended, or optional. In addition, indications and outcomes for the
different therapeutic options, were: reviewed.
Results:A digital rectal examination is mandatory in the assessment for
the diagnosis of BPH:. Recommended tests are the International Prostate
Symptom Score, creatinine measurement (or renal, ultrasound),
uroflowmetry, and postvoid residual urine volume. All other tests are
optional. The aim of treatment is to improve patients’ quality of life,
and it depends on the severity of the symptoms of BPH. The watchful
waiting policy is recommended for patients with mild symptoms, medical
treatment for patients with mild-moderate symptoms, and surgery for
patients who failed medication or conservative management and who have
moderate-severe symptoms, and/or complications of BPH which require
surgery. Regarding non-surgical treatments, transurethral microwave
thermotherapy is the most attractive option. These treatments should be
reserved for patients who prefer to avoid surgery or who no longer
respond favourably to medication. Finally, recommendations for follow-up
tests and a recommended follow-up time schedule. after BPH treatment are
provided.
Conclusions: Recommendations for assessment, possible therapeutic
options, and follow-up. of patients with BPH are made.. Copyright (C)
2001 S. Karger AG, Basel.
Συγγραφείς:
de la Rosette, JJMCH
Alivizatos, G
Madersbacher, S and
Perachino, M
Thomas, D
Desgrandchamps, F
De Wildt, M
