What are the AUA guidelines on the preoperative evaluation of patients with benign prostatic hyperplasia (BPH)?

Updated: Feb 19, 2021
  • Author: Levi A Deters, MD; Chief Editor: Edward David Kim, MD, FACS  more...
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Evaluation and Preoperative Testing

The initial evaluation of patients presenting with bothersome LUTS possibly attributed to BPH should include the following:

  • Medical history, utilizing the AUA Symptom Index (AUA-SI)
  • Physical examination
  • Urinalysis

Prior to surgical intervention for LUTS attributed to BPH, clinicians should do the following:

  • Consider assessment of prostate size and shape via abdominal or transrectal ultrasound, cystoscopy, or by preexisting cross-sectional imaging (ie, magnetic resonance imaging [MRI]/ computed tomography [CT])
  • Assess post-void residual (PVR)
  • Consider uroflowmetry
  • Consider pressure flow studies when diagnostic uncertainty exists

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