title: [Evaluation of the impact of CTMH guidelines on the management of benign prostatic hyperplasia].
abstract: BACKGROUND
  The French guidelines on the management of benign prostatic hyperplasia (BPH) have been published in 2012 by the LUTS committee of the French Urological Association. The aim of this study was to evaluate the impact of these guidelines on the BPH management by French urologists.
  
  
  METHODS
  A questionnaire has been distributed by email to 1141 urologists members of the French Association of Urologists in November 2013.
  
  
  RESULTS
  We collected 222 responses (response rate: 19%). The guidelines have been read by 73% of the urologists. The guidelines were followed most of the time by 76% of them, 11% followed them systematically and 4.5% did not follow them. The new terminology was used by 28 to 52% according to the items. The symptoms were evaluated by the IPSS score (33%), by interrogatory alone (64%) or by neither of them (3%). Prostate volume was not systematically taken for account in the treatment strategy by 57% of the urologists. Sexual function was assessed systematically by 28% of the urologists, 11% used a questionnaire (IIEF: 92%). PSA was tested respectively by 70 and 51% of the urologists at the initial evaluation and the follow-up. After introduction of a monotherapy, 56% of the urologists evaluated the efficacy at 3 months.
  
  
  CONCLUSIONS
  The French guidelines for the management of benign prostatic hyperplasia (BPH) by the LUTS committee of the French Urological Association were well known and used by French urologists. Some improvements can be expected for the use of the IPSS score, the evaluation of the sexual function, and the use of the new terminology.
  
  
  METHODS
  4.
authors.affiliation: Service d'urologie, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France. Electronic address: souhil.lebdai@gmail.com.
authors.forename: S
authors.initials: S
authors.lastname: Lebdai
authors.affiliation: Service d'urologie, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France.
authors.forename: A
authors.initials: A
authors.lastname: Rahmène Azzouzi
authors.affiliation: Service d'urologie, CHU Cochin, 75014 Paris, France.
authors.forename: N B
authors.initials: NB
authors.lastname: Delongchamps
authors.affiliation: Service d'urologie, hôpital Bichat - Claude-Bernard, groupe des hôpitaux universitaires Paris-Nord-Val-de-Seine, université Denis-Diderot, Paris-VII, 75018 Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Benchikh
authors.affiliation: Service d'urologie, CHU Mondor, 75000 Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Campeggi
authors.affiliation: Service d'urologie, hôpital Tenon, Assistance publique-Hôpitaux de Paris, université Pierre-et-Marie-Curie - Paris-6, 75020 Paris, France.
authors.forename: J N
authors.initials: JN
authors.lastname: Cornu
authors.affiliation: Service d'urologie, clinique Turin, 75008 Paris, France.
authors.forename: O
authors.initials: O
authors.lastname: Dumonceau
authors.affiliation: Clinique mutualiste Beausoleil, 34070 Montpellier, France.
authors.forename: A
authors.initials: A
authors.lastname: Faix
authors.affiliation: Service d'urologie, centre hospitalier d'Aix-en-Provence, 13616 Aix-en-Provence, France.
authors.forename: M
authors.initials: M
authors.lastname: Fourmarier
authors.affiliation: Service d'urologie, CHU de Tours, 37044 Tours, France.
authors.forename: O
authors.initials: O
authors.lastname: Haillot
authors.affiliation: Service d'urologie, clinique Turin, 75008 Paris, France.
authors.forename: B
authors.initials: B
authors.lastname: Lukacs
authors.affiliation: Service d'urologie, hôpital Pontchaillou, CHU de Rennes, 35000 Rennes, France.
authors.forename: R
authors.initials: R
authors.lastname: Mathieu
authors.affiliation: Service d'urologie, clinique Pasteur, 31300 Toulouse, France.
authors.forename: V
authors.initials: V
authors.lastname: Misrai
authors.affiliation: Service d'urologie, CHU de Bordeaux, université Bordeaux-Segalen, 33076 Bordeaux, France.
authors.forename: G
authors.initials: G
authors.lastname: Robert
authors.affiliation: Service d'urologie, CHU Mondor, 75000 Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: de La Taille
authors.affiliation: Service de chirurgie urologique, CHU de Limoges, 87042 Limoges, France.
authors.forename: A
authors.initials: A
authors.lastname: Descazeaud
mesh_terms: D000328:Adult; D005602:France; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011470:Prostatic Hyperplasia / Q000628:therapy*; D011795:Surveys and Questionnaires; D009626:Terminology as Topic; D014572:Urology
keywords: Benign prostatic enlargement; Benign prostatic hyperplasia; Benign prostatic obstruction; Guidelines; Hypertrophie bénigne de la prostate; Low urinary tract symptoms (LUTS); Management; Prise en charge; Recommandations; Symptômes du bas appareil urinaire