What are LUTs

Lower urinary tract symptoms is a term used to apply to both storage and emptying symptoms. In the field of urology, this term has replaced BPH sx. BPH symptoms are part of the voiding phase lower urinary tract symptoms (LUTs).

LUTs include storage and voiding symptoms. Storage (overactive bladder) symptoms include urinary frequency

(voiding eight or more times per day), urinary urgency (a sudden compelling desire to void that is difficult to defer), nocturia, and urgency urinary incontinence.

Voiding symptoms include decreased force of stream, hesitancy, straining to void, postterminal dribbling, and intermittency of the urine stream.

A significant number of men presenting with voiding symptoms suggestive of underlying benign prostatic hypertrophy will also have storage symptoms, thus the term LUTs would be more appropriate in these individuals. Medical therapy designed to treat the voiding phase symptoms may or may not lead to improvement in the storage symptoms. Men may have underlying overac-tive bladder in addition to BPH and studies have demonstrated that with relief of the outflow obstruction associated with BPH there may be improvement in the overactive bladder symptoms. However, in men undergoing transurethral prostatectomy for BPH, 30% of men after relief of their bladder outlet obstruction, had persistent overactive bladder symptoms.

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