AUA Guideline Management of LUTS/BPH Part 1 and 2

• 18 Aug 2021 10:17:57 AM
• |General Urology

Dear All,

In recent Years, there have been many advances in the Surgical Treatments for LUTS/BPH, which has made AUA to look into this with a series of Amendments, both in 2019 and 2020. Both these Amendments addressed only the Surgical Managements.

The 2019 Amendment was authored by Harris E Foster* et al.

https://www.auajournals.org/doi/pdf/10.1097/JU.0000000000000319  

Based on this Amendment, Ryan Dornbier*, Kevin T McVary et al (2020) brought out ‘The New American Urological Association Benign Prostatic Hyperplasia Clinical Guidelines: 2019 Update’ which is a good read to understand, reiterating most of what has been provided in the AUA 2019.

https://link.springer.com/content/pdf/10.1007/s11934-020-00985-0.pdf

Advances in our understanding using the Newer Options occurred rapidly necessitating a relook at the Surgical Management of LUTS/BPH and this 2020 amendment was authored by J Kellogg Parsons* et al.

https://www.auajournals.org/doi/pdf/10.1097/JU.0000000000001298  

Advances in most aspects on our understanding of LUTS/BPH necessitated AUA to bring out a New Guideline for LUTS/BPH. The AUA announced on August 16^th 2021, its new updates to its clinical guideline on the management of LUTS attributed to BPH. The updates within this guideline aim to further support urologists in the effective, evidence-based management of male LUTS/BPH. This has been brought, published online on Aug 13^th in two sections. The Guideline Panel was headed by Lori B Lerner* et al. The section 2 is based on ‘Surgical Evaluation and Treatment’ which is mostly a revised version of the previous amendments provided. A new section was added wherein new Evaluations and Preoperative testing statements have been recommended and this new section added on the medical management of BPH to include guidance on alpha blockers, 5-ARIs, PDE5s, combination therapy and acute urinary retention outcomes.

Section 1:

https://www.auajournals.org/doi/pdf/10.1097/JU.0000000000002183  

Section 2:

https://www.auajournals.org/doi/pdf/10.1097/JU.0000000000002184

If all the materials provided, when read together, will help us understand most aspects on LUT/BPH from the AUA Point of view.

With warm Regards,

Venu