4.3.1 Sintesi e raccomandazioni - Biblioteca Medica

Men aged 50 years or older should be asked whether they suffer from LUTS and
informed about both their meaning and therapeutic options
A
Progression of BPH and Risk factors
I
I
III
III
BPH is a progressive disease
PSA and prostate volume are risk factors
The cut-off value of PSA is =1.4 ng/ml and that of prostate volume is 30-40 ml
Age, severity of symptoms, post-voiding residual urine and peak urinary flow
have occasionally been reported to be risk factors
In patients with a life expectancy of at least 10 years and in whom progression
could change the management, PSA and prostatic volume should be taken into
consideration.
In patients with a life expectancy of at least 10 years and in whom progression
could change the management, it may be appropriate to take the age of the
patient, the severity of symptoms, post-voiding residual urine and peak urinary
flow rate into consideration.
A
C
Medical history
Evaluation of symptoms
Physical examination
Urinalyses
Serum Creatinine
DIAGNOSIS
The medical history should focus on:
III
VI
IV
I
- Previous or current genitourinary disorders
- Previous or recent surgery or trauma involving the urinary tract
- Family history of prostate carcinoma or BPH
- Sexual dysfunction
41