LUTS in men

Lower urinary tract symptoms ( LUTS ) in men- storage , voiding and post-micturition symptoms

LUTS can happen due to many causes such asabnormalities or abnormal function of ◘ prostate eg prostatitis , cancer◘ urethra- stricture , foreign body, stone◘ sphincters -detrusor muscle weakness or overactivityUTIs and neurological diseases eg neurogenic bladder dysfunctionForeign body in bladder or urethraMeatal stenosis or phimosisCalculus in bladder , distal ureter or urethraBladder tumourBenign Prostatic Enlargement ( BPE ) is the commonest cause

Voiding or Obstructive symptoms-Weak or intermittent urinary stream , hesitancy , terminal dribbling and incomplete emptying

Storage( Overactive bladder )-Urgency , frequency , urgency incontinence and nocturiastorage symptoms may indicate an underlying medical condition ( eg diabetes , htension, OSA )

Post-micturition-Post- micturition dribbling and feeling of incomplete emptying.Prevalence increases with age○ 30 % of men over 50 suffer from moderate to severe LUTS○ bothersome LUTS can happen in upto 30 % of men > 65 yrs Symptoms increase 9.8 % per decade LUTS are independent risk factor for sexual dysfunction in men over the age of 50

Initial assessment-general medical hx current medicationsincluding herbal medications , otc meds physical examination based on symptoms eg○ abdomen and external genitalia -check for meatal...