Lower urinary tract approach summary chart
The Family Physician's Approach to Lower Urinary Tract Symptoms in Males
Family Physician's approach to Lower Urinary Tract Symptoms slides
Updated 26 Oct 08
The commonest cause of LUTS in males is benign prostatomegaly or benign prostatic hyperplasia (BPH). BPH it the present in up to 50% of males above 50 years of age. Management of BPH has evolved over the last 10 years. Medical therapy is the main stay of treatment in 90% of patients and surgery is only required in 10% of cases. Hence, there is an increasing role of family physician in the management of this common condition.
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Lower urinary tract symptoms or LUTS is a common urology condition encountered by family physicians. It may indicate a problem in the prostate, bladder or urethra. Causes include benign prostate enlargement, infection, stones and cancer.

Due to the numerous organs and pathologies involved, the approach to diagnosing a lower urinary tract symptom in males can be daunting. Dr Ho has summarized the approach in a simple chart, which can be kept by side of the family physician as a quick reference. It is a guide to the relevant history, examination and investigations for management of lower urinary tract symptoms.

Dr Ho Siew Hong was invited to deliver an urology update lecture on the Approach to Lower Urinary Tract Symptoms. The main emphasis of this lecture was on the 'practical approach' by a family physician.

Family physicians practicing in the Serangoon area attended this Continuous Medical Education program which was held on 22 October 08 at Serangoon Garden Country Club.