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Current Bladder Dysfunction Reports

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01-06-2019 | Ultrasound | BPH-Related Voiding Dysfunction (R Lee, Section Editor)

New Diagnostics for Male Lower Urinary Tract Symptoms

Authors: Natalie R. Swavely, John E. Speich, Lynn Stothers, Adam P. Klausner

Published in: Current Bladder Dysfunction Reports | Issue 2/2019

Abstract

Purpose of Review

Lower urinary tract symptoms (LUTS) are a common constellation of symptoms that affect the aging male population with an astonishing prevalence. New technology and new uses of established technology are being used to help further evaluate LUTS in the male population and help guide treatment options. This review focuses on the developments and future directions in diagnostic modalities for evaluation of male LUTS, focusing on evaluation of both the filling and voiding phases of micturition.

Recent Findings

New techniques in evaluating the voiding phase include penile cuff test, external pressure-sensing condom catheter, ultrasound measurement of detrusor wall thickness, ultrasound measurement of intravesical prostatic protrusion, Doppler ultrasound, and near-infrared spectroscopy (NIRS) technology. Evaluation of the filling phase is still undergoing much development and requires additional validation studies. The techniques undergoing evaluation include sensation meters during urodynamics, assessing bladder micromotion and wall rhythm, assessing detrusor wall biomechanics, ultrasound measurement of detrusor wall thickness, pelvic Doppler ultrasound, as well as functional brain imaging including functional NIRS and functional magnetic resonance imaging.

Summary

The development of novel, non-invasive, and diagnostic tools has the potential for better evaluation of LUTS with earlier and enhanced treatments. This will likely improve the quality of life for men with LUTS.

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Title: New Diagnostics for Male Lower Urinary Tract Symptoms
Authors: Natalie R. Swavely
John E. Speich
Lynn Stothers
Adam P. Klausner
Publication date: 01-06-2019
Publisher: Springer US
Keywords: Ultrasound
Overactive Bladder
Ultrasound
Published in: Current Bladder Dysfunction Reports / Issue 2/2019
Print ISSN: 1931-7212
Electronic ISSN: 1931-7220
DOI: https://doi.org/10.1007/s11884-019-00511-0

At a glance: The STEP trials

Springer Medicine

New Diagnostics for Male Lower Urinary Tract Symptoms

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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