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Practice Guidelines Reviews - AUA 2023 BPH

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From Epidemiology to Surgery: A Comprehensive Look at AUA's BPH Guidelines, Journal Club - Rashid Sayyid & Zachary Klaassen Details Rashid Sayyid and Zach Klaassen discuss the 2023 AUA guidelines for managing lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH). They clarify evidence grades: Grade A for high-certainty studies and Grade C for flawed or limited ones. BPH, a proliferation of prostatic tissue, is testosterone-dependent. The duo explains the dynamic and static components contributing to LUT...
Review of Medical Therapy Options in Updated AUA Guidelines for BPH Management, Journal Club - Rashid Sayyid & Zachary Klaassen Details Rashid Sayyid and Zach Klaassen discuss the AUA's updated guidelines for managing lower urinary tract symptoms due to BPH, with a focus on medical therapy. They recommend alpha blockers for moderate to severe symptoms, noting all types have similar efficacy in improving IPSS scores. The choice of alpha blocker should be based on patient age, comorbidities, and side effects like ejaculatory dysfunc...
AUA's Surgical Guidelines for BPH: From Patient Assessment to Procedure Selection, Journal Club - Rashid Sayyid & Zachary Klaassen Details Rashid Sayyid and Zach Klaassen discuss the AUA's updated guidelines for surgical therapy of BPH-related lower urinary tract symptoms. They recommend surgery for patients with complications like renal insufficiency, refractory urinary retention, recurrent UTIs, bladder stones, gross hematuria due to BPH, or when symptoms are unresponsive to other therapies. They note a decrease in TURP surgeries s...
Examining Expert Recommendations Seeking to Update Outdated Standards in BPH Evaluation and Management, Journal Club - Rashid Sayyid & Zachary Klaassen Details Rashid Sayyid and Zach Klaassen discuss the 2023 updated AUA guidelines for managing lower urinary tract symptoms (LUTS) attributed to BPH. They focus on evaluating BPH patients, covering initial and follow-up evaluations, pre-operative testing, and treatment failure rates. The initial evaluation includes obtaining a medical history, conducting a physical exam, using the International Prostate Sym...