Storage

Urinary frequency

Nocturia

Urgency

Urge incontinence

Modified from Thorpe A, Neal D. Benign prostatic hyperplasia. Lancet 2003;361:1359-1367.

prominent are storage and voiding symptoms (Box 40-3). Voiding symptoms imply obstruction, but physical obstruction may not be responsible. In men with BPH, for example, detrusor overactivity, neurologic disorders, or age-related smooth muscle dysfunction may be the cause. Thus, LUTS should shift attention toward a larger symptom complex with many potential causes. This is particularly important when dealing with urinary tract disorders such as BPH, incontinence, and overactive bladder.

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