The American Urological Association (AUA) issued a guideline on the management of BPH, which the AUA validated in 2014. The guideline includes an algorithm for the diagnosis and basic treatment of LUTS. If LUTS causes little or no bother, reassurance and follow-up are indicated.
Examine the urine using dipstick methods and/or via centrifuged sediment evaluation to assess for the presence of blood, leukocytes, bacteria, protein, or glucose. A urine culture may be useful to exclude infectious causes of irritative voiding. It is usually performed if the initial urinalysis findings indicate an abnormality.
A routine serum creatinine measurement is not indicated in the initial evaluation of men with LUTS secondary to BPH. Ultrasonography (abdominal, renal, transrectal) and intravenous urography are useful for helping determine bladder and prostate size and the degree of hydronephrosis (if any) in patients with urinary retention or signs of renal insufficiency. Generally, they are not indicated for the initial evaluation of uncomplicated LUTS.
For more on the workup of BPH, read here.
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Cite this: Bradley Schwartz. Fast Five Quiz: Test Your Knowledge of Benign Prostatic Hyperplasia - Medscape - Mar 09, 2017.
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