The purpose of this paper is to review the existing literature on the prevalence of lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH, LUTS/BPH), factors associated with seeking treatment and treatment success, and subjective and objective methods of evaluating LUTS. Men seek therapy for LUTS/BPH largely because the discomfort outweighs the hurdles to treatment. Severity, annoyance, or duration of symptoms are the primary motivators for people to seek therapy, whereas low symptom severity is the primary motivator for people not to seek treatment. Nocturia and storage problems are the most common among males seeking therapy. Self-report questionnaires are used to assess LUTS severity; subjective judgments transfer relatively well to objective measurements of LUTS severity.
Current symptom categories and patient groups may be too simplistic and based on a lack of evidence. Future therapy may be guided by more research assessing new symptom clusters and patient-centered BPH treatment methods.
Reference:https://link.springer.com/article/10.1007/s11934-020-01006-w
