Full version 8 min
[ LUTS/Personalized treatment ]
LUTS, from the importance of initial assessment, not forgetting to consider the detrusor
Dr Manuela TUTOLO, IRCCS San Raffaele Hospital, Unit of Urology
Urological Research Institute Vita-Salute
San Raffaele University Milan, Italy
Men LUTS management: Do not forget to consider also the detrusor
Up to 75% of men with BPO report OAB symptoms, and more than 50% of patients with urodynamically proven
obstruction also exhibit detrusor overactivity (DO). Despite their frequency, the management of male LUTS is often empiric and based on presumed benign prostatic obstruction (BPO), rather than individualized assessment.
Dr Manuela TUTOLO emphasized the need for a more nuanced and comprehensive assessment of lower urinary tract symptoms (LUTS), moving beyond the traditional focus on prostatic obstruction.
The content reflects the opinions of the speakers.
KEY TAKE AWAY MESSAGES
There is no universal approach to managing male LUTS. By decoupling detrusor function from prostate pathology, and using diverse assessment tools (e.g. questionnaires, tests), clinicians can personalize treatment strategies and timing — selecting the most appropriate medical, minimally invasive, or surgical options for each patient.
HQ--09-25-2500094
On the same topic
-
New
[ Shared Decision Making ]
How can we better address patients' expectations ?
-
New
[ LUTS/Personalized treatment ]
How to better tailor treatments: BPO/BPE individualized treatment
-
New
[ LUTS/Personalized treatment ]
How to better tailor treatments: OAB pathophysiology and phenotyping
