Hong Kong Geriatrics Society and Hong Kong Urological Association consensus on personalised management of male lower urinary tract symptoms in the era of multiple co-morbidities and polypharmacy

Lower urinary tract symptoms (LUTS) are common complaints of adult men. Benign prostatic hyperplasia (BPH) represents the most common underlying cause. As the incidence of BPH increases with age, and pharmacological treatment is a major part of the disease's management, the majority of patients with LUTS are managed by primary care practitioners. There are circumstances in which specialist care by urologists or geriatricians is required, such as failure of medical treatment, adverse effects from medical treatment, or complications from BPH. Referral choices can be confusing to patients and even practitioners in different specialties under such circumstances. There is currently no local consensus about the diagnosis, medical management, or referral mechanism of patients with BPH. A workgroup was formed by members of The Hong Kong Geriatrics Society (HKGS) and the Hong Kong Urological Association (HKUA) to review evidence for the diagnosis and medical treatment of LUTS. A consensus was reached by HKGS and HKUA on an algorithm for the flow of male LUTS care and the use of uroselective alpha blockers, antimuscarinics, beta-3 adrenoceptor agonists, and 5α-reductase inhibitors in the primary care setting. This consensus by HKGS and HKUA provides a new management paradigm of male LUTS.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:27

Enthalten in:

Hong Kong medical journal = Xianggang yi xue za zhi - 27(2021), 2 vom: 27. Apr., Seite 127-139

Sprache:

Englisch

Beteiligte Personen:

Chu, P S K [VerfasserIn]
Leung, C L H [VerfasserIn]
Cheung, M H [VerfasserIn]
Woo, S W S [VerfasserIn]
Lo, T K [VerfasserIn]
Chan, T N H [VerfasserIn]
Wong, W K K [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Review

Anmerkungen:

Date Completed 28.01.2022

Date Revised 31.05.2022

published: Print

Citation Status MEDLINE

doi:

10.12809/hkmj209049

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM324340109