Navigation Links
Doctors Issue New Guidelines on Spotting, Treating Enlarged Prostate
Date:2/4/2011

FRIDAY, Feb. 4 (HealthDay News) -- Experts at the American Urological Association (AUA) have issued updated guidelines on diagnosing and treating enlarged prostate -- a common condition formally know as benign prostatic hyperplasia (BPH).

BPH can lead to lower urinary tract symptoms such as incontinence and affect a man's quality of life. The new guidelines, the first since 2003, include a detailed procedure on how to help doctors diagnose and treat those urinary tract problems. They also lower the age at which doctors should start to look for these issues in patients --- the "index patient age" -- from 50 to 45.

"This document provides much-needed guidance to doctors who are already treating lower urinary tract symptoms, as well as those who will be in the future," Dr. Kevin T. McVary, chair of the guidelines panel, said in an AUA news release.

When treating a patient with suspected lower urinary tract issues, a doctor should obtain a relevant medical history, assess symptoms using the AUA's symptom index, and conduct a full physical examination, including a digital rectal exam, the new guidelines say.

Laboratory tests should include a prostate-specific antigen (PSA) blood test and a urine analysis. Urine frequency and volume charts may also prove useful in reaching a diagnosis.

The advisory also includes new recommendations about drug treatment for enlarged prostate and advises doctors to delay prescribing alpha-blocker drugs to treat an enlarged prostate if a patient is scheduled for eye cataract surgery.

Patients already taking alpha blockers should inform their eye doctor prior to cataract surgery. That's because cataract surgery patients taking alpha blockers are at risk for a complication called intraoperative floppy iris syndrome, which can lead to increased pain, a longer recovery and less improvement in vision.

One urologist called the new guidelines "a welcomed update."

"Since the last published guideline in 2003, many new medical and surgical therapies have emerged to help urologists treat men who suffer from lower urinary tract symptoms related to BPH. Incorporating these new treatments in the new 2011 guideline will help to standardize care for all men diagnosed with BPH," said Dr. David Shin, assistant professor of urology at the medical school of the University of Medicine and Dentistry of New Jersey, and a clinician at Hackensack University Medical Center.

"Interestingly, the 2011 guideline also lowered the index patient age to 45 from 50," he added. "It is not surprising that younger men are having lower urinary tract symptoms since enlargement of the prostate begins at age 45. With this new AUA guideline, physicians will be able to effectively treat both the younger and older male suffering from voiding dysfunction related to their enlarged prostate."

The guideline is expected to be published in an upcoming issue of The Journal of Urology.

More information

The U.S. National Institute of Diabetes and Digestive and Kidney Diseases has more about prostate enlargement.

-- Robert Preidt

SOURCE: Dr. David Shin, MD, assistant professor, urology, the University of Medicine and Dentistry of New Jersey Medical School, and clinician, Hackensack University Medical Center, Hackensack, NJ; American Urological Association, news release, Feb. 3, 2011


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Wiser Pregnancy Reveals What Doctors Did In Situations Like Yours
2. Helmets must be part of skiing and snowboarding culture, doctors urge
3. Doctors Have Many Ways to Say No
4. Doctors Working Less, Earning Less
5. Doctors Share Longevity Secrets on CBS Broadcasts
6. Shortage of Black Doctors Rooted in Social, Economic Ills
7. Doctors Practice Medicine in Fear, New Study Finds
8. Doctors Applaud House Vote to Remove Anti-Trust Exemption for Health Insurers
9. Napa State Hospital Doctors Question DMH Judgment
10. Doctors Applaud Latest Furlough Reversal
11. Star of TVs The Doctors Helping Put Smiles on Faces of Needy Children in India
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Doctors Issue New Guidelines on Spotting, Treating Enlarged Prostate
(Date:6/24/2016)... , ... June 24, 2016 , ... ... actively feeding the Frederick area economy by obtaining investment capital for emerging technology ... past 2½ years that have already resulted in more than a million dollars ...
(Date:6/24/2016)... ... June 24, 2016 , ... Today, ... stem (iPS) cells and other difficult to transfect cells, announces its launch of ... PluriQ™ G9™ Gene Editing System is a complete system for culturing and ...
(Date:6/24/2016)... ... 2016 , ... To succeed under value-based payments, healthcare providers ... how to move forward, given the need to sustain current operations. PYA has ... an organization’s specific needs. , PYA Principal Martie Ross states, “Healthcare providers want ...
(Date:6/24/2016)... ... 24, 2016 , ... SpiritQuest Sedona Retreats, located in Arizona has re-located to ... vortex sites: Cathedral Rock, Airport Mesa, and Boynton Canyon. The new retreat center ... as well as the Sedona Rouge, both popular accommodations for SpiritQuest clients. The ...
(Date:6/23/2016)... ... June 23, 2016 , ... An article published June 8 ... between head and neck cancer in individuals with unhealthy oral hygiene habits. The article ... on whether they had gum disease, brushed their teeth on a daily basis, wore ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... -- According to a new market research ... Safety Pen Needles), Needle Length (4mm, 5mm, 6mm, 8mm, ... Purchase (Retail, Non-Retail) - Trends & Global Forecasts to ... for the forecast period of 2016 to 2021. This ... 2021 from USD 1.65 Billion in 2016, growing at ...
(Date:6/24/2016)... , Belgium , June 24, ... VNRX), today announced the appointment of Dr. ... Directors as a Non-Executive Director, effective June 23, ... Audit, Compensation and Nominations and Governance Committees.  As ... Futcher will provide independent expertise and strategic counsel ...
(Date:6/23/2016)... 2016  MedSource announced today that it has ... solution of choice.  This latest decision demonstrates MedSource,s ... their clients by offering a state-of-the-art electronic data ... nowEDC as the EDC platform of choice in ... "nowEDC has long been a preferred EDC platform ...
Breaking Medicine Technology: