TY  - EJOU
AU  - Nickel, J. Curtis 
AU  - Herschorn, Sender 
AU  - Corcos, Jacques 
AU  - Donnelly, Bryan 
AU  - Drover, Doug 
AU  - Elhilali, Mostafa 
AU  - Goldenberg, Larry 
AU  - Grantmyre, John 
AU  - Laroche, Bruno 
AU  - Norman, Richard 
AU  - Piercy, Bruce 
AU  - Psooy, Karen 
AU  - Steinhoff, Gary 
AU  - Trachtenberg, John 
AU  - Saad, Fred 
AU  - Tanguay, Simon 

TI  - Canadian guidelines for the management of benign prostatic hyperplasia
T2  - Canadian Journal of Urology

PY  - 2005
VL  - 12
IS  - 3
SN  - 1488-5581

AB  - <b>Objective:</b> To develop the first Canadian guidelines for the management of lower urinary tract symptoms in men with benign prostatic hyperplasia (BPH).<br/>
<b>Methods:</b> These guidelines, developed under a mandate provided by the Canadian Urological Association (CUA), were a collaborative effort between the CUA guidelines committee and the Canadian Prostate Health Council. BPH guidelines developed by the American Urological Association, the European Association of Urology, the World Health Organization International Consultation on BPH, and similar committees from Germany, Sweden and Australia were reviewed. The committee further reviewed a systematic literature search, updated to May 2004, and systematically derived Canadian urological opinion data.<br/>
<b>Results:</b> The subsequent Canadian BPH guidelines were developed as an evidence based consensus among the committee members. Mandatory evaluation includes history, physical examination and urinalysis, while a symptom inventory and PSA in selected patients are recommended. Serum creatinine, uroflow, voiding diary, post void residual and sexual function questionnaire are optional. Unless there is an indication, other related tests are not recommended. Treatment choices should be governed by the severity of the symptoms, bother and patient preference. Guidelines for medical, surgical and minimally invasive treatment as well as special considerations are described in terms of guideline, option and recommendation.<br/>
<b>Conclusions:</b> Diagnostic and treatment guidelines for BPH reflect the Canadian social priorities, economics, socialized medical practice, manpower issues, and medicolegal considerations.
KW  - benign prostatic hyperplasia
KW  -  BPH
KW  -  lower urinary tract symptoms
KW  -  LUTS
KW  -  diagnosis
KW  -  treatment
KW  -  guideline

DO  -