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Public release date: 04 February 2011
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Guidelines on spotting, treating enlarged prostate
For the first time since 2003, experts at the American Urological Association (AUA) have issued updated guidelines
on diagnosing and treating
prostate enlargement. Know also as benign prostatic hyperplasia (BPH), this male common
condition can lead to lower urinary tract symptoms such as incontinence and affect a man's quality of life.
The new guidelines include a detailed procedure on how to help doctors diagnose and treat those urinary tract problems.
The most important is the new guidelines lower the age at which doctors should start to look for enlarged prostate issues in
patients from 50 to 45.
According to an AUA news release, the issued document aimes to provide much-needed guidance to doctors who are already
treating lower urinary tract symptoms, as well as those who will be in the future,
The enlarged prostate advisory includes new recommendations such as:
1. 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
2. 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.
3. 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."
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