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Lower urinary tract symptoms in men, age-related (including symptoms of benign prostatic hyperplasia/hypertrophy) - Management
How should I characterize the type of lower urinary tract symptoms (LUTS)?
- To establish what type or combination of types of lower urinary tract symptoms (LUTS) the man has, ask about:
- Storage (irritative) symptoms: urgency, daytime urinary frequency, nocturia, urinary incontinence, and feeling the need to urinate again just after passing urine.
- Specifically ask about bedwetting, as this can be a sign of chronic urinary retention.
- Voiding (obstructive) symptoms: hesitancy, weak or intermittent urinary stream sometimes causing splitting or spraying, straining, intermittency, incomplete emptying, and terminal dribbling.
- Post-micturition symptoms: post-micturition dribble, and the sensation of incomplete emptying.
- If the man has bothersome LUTS, storage symptoms, or nocturia ask him to complete a urinary frequency-volume chart. This is essential to distinguish between urinary frequency, polyuria, nocturia, and nocturnal polyuria.
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