What are the guidelines for the workup of 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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Answer

The American Urological Association (AUA) has issued a guideline on the management of benign prostatic hyperplasia (BPH). The guideline includes an algorithm for the diagnosis and basic treatment of lower urinary tract symptoms (LUTS), which is presented below. [1]

Benign prostatic hyperplasia. Basic management of Benign prostatic hyperplasia. Basic management of lower urinary tract symptoms (LUTS) in men.

The Diagnosis Improvement in PrimAry Care Trial (D-IMPACT), a prospective, multicenter study in three European countries, identified simple tests for primary care practitioners to diagnose BPH in men who present with LUTS. D-IMPACT found that a diagnostic algorithm including only the objective variables of age, International Prostate Symptom Score (IPSS) and prostate-specific antigen level (PSA), allows accurate diagnosis of BPH in approximately three-quarters of patients who report LUTS. [6]


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