BMJ Best Practice
最后审核时间： 六月 2019
最近更新时间： 三月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 憋尿症状
  • 排尿症状
全部具体信息

其他诊断因素

  • 发烧和排尿困难
  • 尿潴留
全部具体信息

危险因素

  • 50 岁以上
  • 家族史
  • 非亚洲种族
  • 吸烟
全部具体信息

诊断性检查

首要检查

  • 尿液分析
  • PSA
  • 国际前列腺症状评分
  • 总体困扰评分
全部具体信息

需要考虑的检查

  • 超声
  • 腹部/盆腔 CT
  • 膀胱镜检查
  • 尿流测量
全部具体信息

治疗流程

急性

非困扰性症状

困扰性症状，但无手术适应证

症状造成困扰且有手术适应证：前列腺 < 80 g

症状造成困扰且有手术适应证：前列腺 ≥ 80 g

贡献者

作者 查看所有

Michael T. Flannery MD

Professor

Internal Medicine

University of South Florida College of Medicine

Department of Internal Medicine

Tampa

FL

利益冲突披露
MTF declares that he has no competing interests.

Associate Professor and Program Director

Internal Medicine

University of South Florida College of Medicine

Department of Internal Medicine

Tampa

FL

利益冲突披露
EA declares that she has no competing interests.

同行评议专家 查看所有

Consultant Urological Surgeon

Royal Hallamshire Hospital

Honorary Senior Lecturer of Urology

University of Sheffield

Newcastle University

Visiting Professor of Urology

Sheffield Hallam University

Adjunct Secretary responsible for Education

European Association of Urology

Sheffield

UK

利益冲突披露
CRC is Chairman of NICE Male LUTS Guidelines Development Group.

Professor of Urology

Institute of Cellular Medicine

Newcastle University

Newcastle upon Tyne

UK

利益冲突披露
RP has received funding from the UK NHS (NIHR) to undertake commissioned reviews of treatment for benign prostatic enlargement.

Chief

Department of Surgery

South Seminole Hospital

Longwood

FL

利益冲突披露
SKB is a member of the National Speakers Bureau for Boehringer Ingelheim, Astellas Pharmaceutics, and Glaxo Pharmaceuticals and has served as a consultant for these companies.

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