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05-04-2024 | Benign Prostatic Hypertrophy | REVIEW

Persistent Lower Urinary Tract Symptoms After BPH Surgery

Authors: Joshua Heiman, William M. Snead, John Michael DiBianco

Abstract

Purpose of Review

Lower urinary tract symptoms (LUTS) after surgical management for BPH pose a significant clinical challenge for urologists. Despite high success rates in relieving LUTS, there is a subset of patients who experience persistent symptoms after intervention. In this review article, we describe the management of patients with new or persistent LUTS after endoscopic bladder outlet surgery.

Recent Findings

Previously, the goal for BPH management was to remove as much adenomatous tissue as possible. While potentially effective, this may lead to unwanted side effects. There has been a recent paradigm shift for new minimally invasive surgical therapies (MIST) that strategically treat adenomatous tissue, adding potential complexity in managing patients with new or residual symptoms in the postoperative setting.

Summary

There is a paucity of literature to guide optimal workup and care of patients with persistent LUTS after surgical management. We characterize patients into distinct groups, defined by types of symptoms, irritative versus obstructive, and timing of the symptomatology, short term versus long term. By embracing this patient-centered approach with shared decision management, clinicians can optimize outcomes efficiently improving their patients’ quality of life.

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Title: Persistent Lower Urinary Tract Symptoms After BPH Surgery
Authors: Joshua Heiman
William M. Snead
John Michael DiBianco
Publication date: 05-04-2024
Publisher: Springer US
Keywords: Benign Prostatic Hypertrophy
Benign Prostatic Hypertrophy
Overactive Bladder
Urethral Stricture
Stress Incontinence
Laser
Transurethral Prostate Resection
Published in: Current Urology Reports
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI: https://doi.org/10.1007/s11934-024-01202-y

At a glance: The STEP trials

Springer Medicine

Persistent Lower Urinary Tract Symptoms After BPH Surgery

Abstract

Purpose of Review

Recent Findings

Summary

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose of Review

Recent Findings

Summary

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