title: [Summary of the practice guideline 'Lower urinary-tract symptoms in middle-aged and elderly men' (second revision) from the Dutch College of General Practitioners].
abstract: The 1997 practice guideline from the Dutch College of General Practitioners concerning lower urinary-tract symptoms (LUTS) in middle-aged and elderly men has been revised and some points have been adapted. The underlying cause of LUTS in middle-aged and elderly men is an improperly functioning voiding mechanism of the bladder associated with ageing. Symptoms are not simply due to prostate enlargement. In uncomplicated LUTS the patient's perception of the level of inconvenience is very important in considering and choosing therapeutic options. Percussion of the bladder after micturition is no longer universally advised. In general, invasive treatment is more effective in relieving symptoms than medical treatment, although invasive treatment causes more adverse effects. LUTS and prostate cancer are different entities, and LUTS is not a risk factor for prostate cancer. The issue of prostate cancer is discussed in this practice guideline in order to clear up popular misconceptions and to enhance the practical implementation of this guideline.
authors.affiliation: Nederlands Huisartsen Genootschap, afd. Richtlijnontwikkeling en Wetenschapsbeleid, Postbus 3231, 3502 GE Utrecht. renw@nhg-nl.org
authors.forename: J S
authors.initials: JS
authors.lastname: Starreveld
authors.forename: R J
authors.initials: RJ
authors.lastname: Wolters
authors.forename: A C M
authors.initials: AC
authors.lastname: Romeijnders
authors.forename: L
authors.initials: L
authors.lastname: Pijnenborg
authors.forename: A N
authors.initials: AN
authors.lastname: Goudswaard
mesh_terms: D000368:Aged; D000375:Aging / Q000502:physiology*; D005194:Family Practice / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D010818:Practice Patterns, Physicians' / Q000592:standards*; D011467:Prostate / Q000502:physiology; D011471:Prostatic Neoplasms / Q000453:epidemiology; D012955:Societies, Medical; D014555:Urination Disorders / Q000209:etiology / Q000601:surgery / Q000628:therapy*