Management of lower urinary tract symptoms in men: summary of NICE guidance.
نویسندگان
چکیده
• Offer a urine dipstick test to detect blood, glucose, protein, leucocytes, and nitrites. • Offer the patient information and advice, and give him the time to decide whether he wishes to have prostate specific antigen testing if: -His symptoms suggest bladder outlet obstruction secondary to benign prostatic enlargement or -His prostate feels abnormal on digital rectal examination or -He is concerned about prostate cancer. • Offer a serum creatinine test (plus calculation of estimated glomerular filtration rate) only if you suspect renal impairment (for example, if the man has a palpable bladder, nocturnal enuresis, recurrent urinary tract infections, or a history of renal stones). • Refer for specialist assessment (in any setting by a healthcare professional with specific training in managing LUTS in men) if the symptoms are complicated by recurrent or persistent urinary tract infection, retention, renal impairment that is suspected to be caused by lower urinary tract dysfunction, or suspected urological cancer. • Offer men considering any treatment for LUTS an assessment of their baseline symptoms with a validated symptom score (for example, the international prostate symptom score ) to allow assessment of subsequent changes in symptoms. GuIdElInEs
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ورودعنوان ژورنال:
- BMJ
دوره 340 شماره
صفحات -
تاریخ انتشار 2010