Lower Urinary Tract Symptoms (LUTS)
Aetiology
Clinical Features
Symptoms
Irritative:
F requency inc
U rgency/ incontinence
N octuria
Obstructive:
W eak stream
I ntermittent
S training
E mptying incomplete
Others:
Haematuria (start of flow = below bladder/all the way = bladder and above)
Signs
***DRE!!***
Investigation
Bedside:
Imaging
Treatment
Obstructive:
Source
Dr Michael Monsour 2014
- Obstructive
- Irritative (unstable bladder)
- Neurogenic
Clinical Features
Symptoms
Irritative:
F requency inc
U rgency/ incontinence
N octuria
Obstructive:
W eak stream
I ntermittent
S training
E mptying incomplete
Others:
Haematuria (start of flow = below bladder/all the way = bladder and above)
Signs
***DRE!!***
Investigation
Bedside:
- Urine MCS (Ca)/ Semen MCS
Imaging
- US (transrectal to determine size of prostate)
- CT (renal stones)
- Uroflow study
- Cystoscopy (all cases of haematuria)
Treatment
Obstructive:
- 5alpha reductase
Source
Dr Michael Monsour 2014