ACR Appropriateness Criteria® Lower Urinary Tract Symptoms-Suspicion of Benign Prostatic Hyperplasia

Publication date: November 2019Source: Journal of the American College of Radiology, Volume 16, Issue 11, SupplementAuthor(s): Expert Panel on Urological Imaging, Lauren F. Alexander, Aytekin Oto, Brian C. Allen, Oguz Akin, Jaron Chong, Adam T. Froemming, Pat F. Fulgham, Stanley Goldfarb, Jodi K. Maranchie, Rekha N. Mody, Bhavik N. Patel, Nicola Schieda, David M. Schuster, Ismail B. Turkbey, Aradhana M. Venkatesan, Carolyn L. Wang, Mark E. LockhartAbstractLower urinary tract symptoms due to benign prostatic enlargement have a high prevalence in men over 50 years of age. Diagnosis is made with a combination of focused history and physician examination and validated symptom questionnaires. Urodynamic studies can help to differentiate storage from voiding abnormalities. Pelvic ultrasound may be indicated to assess bladder volume and wall thickness. Other imaging modalities, including prostate MRI, are usually not indicated in the initial workup and evaluation of uncomplicated lower urinary tract symptoms from an enlarged prostate.The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, ...
Source: Journal of the American College of Radiology - Category: Radiology Source Type: research