Multidisciplinary Care of Urinary Incontinence by Lewis Chan & Vincent Tse

Author:Lewis Chan & Vincent Tse
Language: eng
Format: epub
Publisher: Springer London, London

Urinalysis/urine microscopy and culture

Serum creatinine

Prostate specific antigen (PSA)

Post- void residual urine (ultrasound/bladder scan)

Fig. 5.1Ultrasound image of bladder showing elevated residual urine and prostatomegaly with prominent intravesical protrusion of the prostate (arrows)

Q: What is the likely cause of this patient’s symptoms?

A: Bladder outlet obstruction from benign prostatic enlargement (previously called benign prostatic hyperplasia or BPH) resulting in an overactive bladder in addition to poor urinary flow. In men presenting with LUTS, the main diagnostic dilemma is between overactive bladder or bladder outlet obstruction. Empirical therapy is justified in the absence of complicated LUTS if the patient is bothered by the symptoms (see Chap. 3 International Prostate Symptom Score- IPSS)

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