Surgical Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia: AUA Guideline

Harris E. Foster, Michael J. Barry, Philipp Dahm, Manhar C. Gandhi, Steven A. Kaplan, Tobias S. Kohler, Lori B. Lerner, Deborah J. Lightner, J. Kellogg Parsons, Claus Roehrborn, Charles Welliver, Timothy J. Wilt, Kevin T. McVary

Research output: Contribution to journalArticle

63 Citations (Scopus)

Abstract

Purpose: Male lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH) is common in men and can have negative effects on quality of life (QoL). It is the hope that this Guideline becomes a reference on the effective evidence-based surgical management of LUTS/BPH. Materials and Methods: The evidence team searched Ovid MEDLINE, the Cochrane Library, and the Agency for Healthcare Research and Quality (AHRQ) database to identify studies indexed between January 2007 and September 2017. When sufficient evidence existed, the body of evidence was assigned a strength rating of A (high), B (moderate), or C (low) for support of Strong, Moderate, or Conditional Recommendations. In the absence of sufficient evidence, additional information is provided as Clinical Principles and Expert Opinions (table 1 in supplementary unabridged guideline, http://jurology.com/). Results: This Guideline provides updated, evidence-based recommendations regarding management of LUTS/BPH utilizing surgery and minimally invasive surgical therapies; additional statements are made regarding diagnostic and pre-operative tests. Clinical statements are made in comparison to what is generally accepted as the gold standard (i.e. transurethral resection of the prostate [TURP]–monopolar and/or bipolar). This guideline is designed to be used in conjunction with the associated treatment algorithm. Conclusions: The prevalence and the severity of LUTS increases as men age and is an important diagnosis in the healthcare of patients and the welfare of society. This document will undergo additional literature reviews and updating as the knowledge regarding current treatments and future surgical options continues to expand.

Original languageEnglish (US)
JournalJournal of Urology
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Lower Urinary Tract Symptoms
Prostatic Hyperplasia
Guidelines
Transurethral Resection of Prostate
Minimally Invasive Surgical Procedures
Health Services Research
Expert Testimony
MEDLINE
Libraries
Therapeutics
Quality of Life
Databases
Delivery of Health Care

Keywords

  • laser therapy
  • lower urinary tract symptoms
  • prostate
  • transurethral resection of the prostate

ASJC Scopus subject areas

  • Urology

Cite this

Foster, H. E., Barry, M. J., Dahm, P., Gandhi, M. C., Kaplan, S. A., Kohler, T. S., ... McVary, K. T. (Accepted/In press). Surgical Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia: AUA Guideline. Journal of Urology. https://doi.org/10.1016/j.juro.2018.05.048

Surgical Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia : AUA Guideline. / Foster, Harris E.; Barry, Michael J.; Dahm, Philipp; Gandhi, Manhar C.; Kaplan, Steven A.; Kohler, Tobias S.; Lerner, Lori B.; Lightner, Deborah J.; Parsons, J. Kellogg; Roehrborn, Claus; Welliver, Charles; Wilt, Timothy J.; McVary, Kevin T.

In: Journal of Urology, 01.01.2018.

Research output: Contribution to journalArticle

Foster, HE, Barry, MJ, Dahm, P, Gandhi, MC, Kaplan, SA, Kohler, TS, Lerner, LB, Lightner, DJ, Parsons, JK, Roehrborn, C, Welliver, C, Wilt, TJ & McVary, KT 2018, 'Surgical Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia: AUA Guideline', Journal of Urology. https://doi.org/10.1016/j.juro.2018.05.048
Foster, Harris E. ; Barry, Michael J. ; Dahm, Philipp ; Gandhi, Manhar C. ; Kaplan, Steven A. ; Kohler, Tobias S. ; Lerner, Lori B. ; Lightner, Deborah J. ; Parsons, J. Kellogg ; Roehrborn, Claus ; Welliver, Charles ; Wilt, Timothy J. ; McVary, Kevin T. / Surgical Management of Lower Urinary Tract Symptoms Attributed to Benign Prostatic Hyperplasia : AUA Guideline. In: Journal of Urology. 2018.
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abstract = "Purpose: Male lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH) is common in men and can have negative effects on quality of life (QoL). It is the hope that this Guideline becomes a reference on the effective evidence-based surgical management of LUTS/BPH. Materials and Methods: The evidence team searched Ovid MEDLINE, the Cochrane Library, and the Agency for Healthcare Research and Quality (AHRQ) database to identify studies indexed between January 2007 and September 2017. When sufficient evidence existed, the body of evidence was assigned a strength rating of A (high), B (moderate), or C (low) for support of Strong, Moderate, or Conditional Recommendations. In the absence of sufficient evidence, additional information is provided as Clinical Principles and Expert Opinions (table 1 in supplementary unabridged guideline, http://jurology.com/). Results: This Guideline provides updated, evidence-based recommendations regarding management of LUTS/BPH utilizing surgery and minimally invasive surgical therapies; additional statements are made regarding diagnostic and pre-operative tests. Clinical statements are made in comparison to what is generally accepted as the gold standard (i.e. transurethral resection of the prostate [TURP]–monopolar and/or bipolar). This guideline is designed to be used in conjunction with the associated treatment algorithm. Conclusions: The prevalence and the severity of LUTS increases as men age and is an important diagnosis in the healthcare of patients and the welfare of society. This document will undergo additional literature reviews and updating as the knowledge regarding current treatments and future surgical options continues to expand.",
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AU - Kaplan, Steven A.

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AU - McVary, Kevin T.

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AB - Purpose: Male lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH) is common in men and can have negative effects on quality of life (QoL). It is the hope that this Guideline becomes a reference on the effective evidence-based surgical management of LUTS/BPH. Materials and Methods: The evidence team searched Ovid MEDLINE, the Cochrane Library, and the Agency for Healthcare Research and Quality (AHRQ) database to identify studies indexed between January 2007 and September 2017. When sufficient evidence existed, the body of evidence was assigned a strength rating of A (high), B (moderate), or C (low) for support of Strong, Moderate, or Conditional Recommendations. In the absence of sufficient evidence, additional information is provided as Clinical Principles and Expert Opinions (table 1 in supplementary unabridged guideline, http://jurology.com/). Results: This Guideline provides updated, evidence-based recommendations regarding management of LUTS/BPH utilizing surgery and minimally invasive surgical therapies; additional statements are made regarding diagnostic and pre-operative tests. Clinical statements are made in comparison to what is generally accepted as the gold standard (i.e. transurethral resection of the prostate [TURP]–monopolar and/or bipolar). This guideline is designed to be used in conjunction with the associated treatment algorithm. Conclusions: The prevalence and the severity of LUTS increases as men age and is an important diagnosis in the healthcare of patients and the welfare of society. This document will undergo additional literature reviews and updating as the knowledge regarding current treatments and future surgical options continues to expand.

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