Overflow incontinence (occurs in chronic retention)
As the symptoms are common and non-specific, LUTS is not necessarily a reason to suspect prostate cancer. Large studies of patients have also failed to show any correlation between lower urinary tract symptoms and a specific diagnosis.
Placement of a temporary prostatic stent as a differential diagnosis test can help identify whether LUTS symptoms are directly related to obstruction of the prostate or to other factors worth investigation.
ICD 9 CM
600.00 Hypertrophy (benign) of prostate w/o urinary obstruction and other lower urinary tract symptoms (LUTS)
600.01 Hypertrophy (benign) of prostate with urinary obstruction and other LUTS
600.20 Benign localized hyperplasia of prostate w/o urinary obstruction and other LUTS
600.21 Benign localized hyperplasia of prostate with urinary obstruction and other LUTS
600.90 Hyperplasia of prostate, unspecified, w/o urinary obstruction and other LUTS
600.91 Hyperplasia of prostate, unspecified, with urinary obstruction and other LUTS
A number of techniques to destroy part or all of the prostate have been developed. First line of treatment is medical, which includes alpha-1 blockade and antiandrogens. If the medical treatment fails, surgical techniques are done. Techniques include:
The best nowadays is TURP: trans-urethral removal of the prostate.
^de Jong, Y; Pinckaers, JH; Ten Brinck, RM; Lycklama À Nijeholt, AA; Dekkers, OM (2014). "Urinating Standing versus Sitting: Position Is of Influence in Men with Prostate Enlargement. A Systematic Review and Meta-Analysis.". PloS one9 (7): e101320. doi:10.1371/journal.pone.0101320. PMID25051345.