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:4/29/2016)... Francisco, CA (PRWEB) , ... April 29, 2016 ... ... released fertility clinic data for 2014. Each year, reproductive endocrinologists are required to ... and SART, the main organization of professionals dedicated to the practice of assisted ...
(Date:4/29/2016)... ... April 29, 2016 , ... In its efforts of ... Services continues its successful franchise development and expansion as it welcomes Ferdie Vasquez of ... and administrative experience in his 32 years of working in various industries. He ...
(Date:4/28/2016)... ... 28, 2016 , ... The Dentists Insurance Company ... a letter of intent with Moda to acquire Dentists Benefits Insurance ... Started by dentists 36 years ago, TDIC focuses exclusively on supporting the dental ...
(Date:4/28/2016)... ... April 28, 2016 , ... CastCoverz!, America’s #1 trusted brand ... country's oldest waterproof cast protector . As the largest one-stop, orthopedic shop, ... of daily, night, weatherproof and waterproof covers for most orthopedic devices, including but ...
(Date:4/28/2016)... ... April 28, 2016 , ... The ARRS 2016 ... medical professionals from around the globe who attended a week’s worth of cutting-edge ... April 17 included the introduction of the 2016 ARRS Distinguished Educator, Dr. Gerald ...
Breaking Medicine News(10 mins):
(Date:4/28/2016)... , April 28, 2016   Acsis , a ... that leading IT market research and advisory firm IDC ... the IDC MarketScape: Worldwide Pharmaceutical Track and Trace Software ... report provides an assessment of the capabilities and business ... trace software market. Logo - http://photos.prnewswire.com/prnh/20160427/360791LOGO ...
(Date:4/28/2016)... , April 28, 2016 TapImmune,Inc. ... of innovative peptide and gene-based immunotherapeutics and vaccines for the ... be presenting at the 3rd Annual Growth Capital Expo ... th , 2016 at Caesars Palace in Las Vegas, Nevada.  ... on Wednesday, May 4 th by Dr. John ...
(Date:4/27/2016)... April 27, 2016  Hologic, Inc. (Nasdaq: ... results for the fiscal second quarter ended March ... of $0.24 increased 41.2%, and non-GAAP diluted EPS ... increased 5.8% on a reported basis, and 6.3% ... "We posted another good quarter, highlighted by 14.6% ...
Breaking Medicine Technology: