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Diagnosis
Systematic review
Symptoms alone may lead to inaccurate diagnosis in men with possible bladder outlet obstruction
  1. Roger Dmochowski
  1. Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee, USA
  1. Correspondence to : Dr Roger Dmochowski, Department of Urology, Vanderbilt University Medical Center, Room A 1302, Medical Center North, Nashville, TN 37232-2765, USA; Roger.dmochowski{at}vanderbilt.edu

https://doi.org/10.1136/ebmed-2015-110172

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    Commentary on: D'Silva K, Dahm P, Wong C. Does this man with lower urinary tract symptoms have bladder outlet obstruction? The rational clinical examination: a systematic review. JAMA 2014;312:535–42OpenUrlCrossRefPubMedWeb of Science.

    Context

    The diagnosis and evaluation of men with lower urinary tract symptoms explicitly to evaluate possible obstruction from enlargement of the prostate includes multiple components, including history and physical examination, symptomatic assessment using a validated questionnaire, quality of life measures or invasive urodynamic testing. Some data has supported the use of a less intensive diagnostic algorithm including uroflowmetry (a component of urodynamics).1 This systematic review examines the role of non-invasive components (exclusive of uroflowmetry) of the diagnostic algorithm for lower urinary tract symptoms in men.

    Methods

    The authors utilised a relatively strict …

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    Footnotes

    • Competing interests None.

    • Provenance and peer review Commissioned; internally peer reviewed.