Document Detail


Lower urinary tract symptoms.
MedLine Citation:
PMID:  20497844     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Lower urinary tract symptoms (LUTS) occur commonly in older men and can have a significant effect on quality of life. Symptoms can be categorized as voiding, storage, or postvoiding in nature. A variety of symptom screening scales are available to categorize the nature and severity of the urinary symptoms. Erectile dysfunction (ED) symptoms frequently overlap with LUTS and treatment must address both conditions. Initial evaluation for LUTS and ED includes extensive questioning about symptoms, medication use, and medical history, followed by a targeted physical examination and basic laboratory testing. Treatment is focused on the origin of symptoms, which are frequently bladder hyperactivity, urinary retention, or prostatic hypertrophy. Common medication classes used to treat LUTS and ED include alpha-1 adrenergic blockers, anticholinergics, 5alpha-reductase inhibitors, and phosphodiesterase inhibitors. Combination medication therapy has been studied and is providing benefit in patients with more than one type of urinary dysfunction.
Authors:
Julie K Gammack
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinics in geriatric medicine     Volume:  26     ISSN:  1557-8623     ISO Abbreviation:  Clin. Geriatr. Med.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-25     Completed Date:  2010-09-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8603766     Medline TA:  Clin Geriatr Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  249-60     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
Affiliation:
Division of Geriatric Medicine, Saint Louis University Health Sciences Center, 1402 South Grand Boulevard, M238, St Louis, MO 63104, USA. gammackj@slu.edu
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MeSH Terms
Descriptor/Qualifier:
Adrenergic Antagonists / therapeutic use
Aged
Aged, 80 and over
Cholinergic Antagonists / therapeutic use
Drug Therapy, Combination
Erectile Dysfunction / diagnosis,  drug therapy,  physiopathology*
Humans
Male
Phosphodiesterase Inhibitors / therapeutic use
Quality of Life
Urination Disorders / diagnosis,  drug therapy,  physiopathology*
Urologic Diseases / diagnosis,  drug therapy,  physiopathology*
Chemical
Reg. No./Substance:
0/Adrenergic Antagonists; 0/Cholinergic Antagonists; 0/Phosphodiesterase Inhibitors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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