[Summary of the NHG practice guideline 'Lower urinary tract symptoms in men']
SourceNederlands Tijdschrift voor Geneeskunde, 157, 18, (2013), pp. A6178
Article / Letter to editor
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Nederlands Tijdschrift voor Geneeskunde
SubjectNCEBP 3: Implementation Science; NCEBP 3: Implementation Science
- In general practice, lower urinary tract symptoms (LUTS) in men are usually not attributable to specific disorders.- Prostate cancer is rarely the cause of LUTS.- Education, counselling, and non-pharmaceutical advice form the basis for treatment of LUTS.- Only when these measures do not relieve the patient's symptoms sufficiently, drug therapy could be considered. Alpha-blockers are the drugs of first choice and are also recommended when transurethral catheterization is needed for acute urinary retention. - The effect of medication on LUTS is limited and largely based on placebo effect.- The effectiveness of prostate cancer screening is a subject of debate; therefore patients asking for a PSA test should be informed about the benefits and harms of measuring PSA before having a test. - A PSA value > 4 ng/ml, or abnormal results on digital rectal examination should prompt further diagnostic evaluation.
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