Review - until March 2020
Published: 2018-12-15

Lower urinary tract symptoms in elderly men: a simple yet comprehensive approach

Urology and Renal Transplantation Unit, Department of Medical and Surgical Sciences, University of Foggia, Italy
Department of Urology, AOUI Verona, Italy
Andrological and Urogynecological Clinic, Santa Maria Hospital of Terni, University of Perugia, Terni, Italy
Department of Urology, Henri Mondor Hospital, Créteil, France
Nephrology, Dialysis and Transplantation Unit, Department of Medical and Surgical Sciences, University of Foggia, Italy
Urology and Renal Transplantation Unit, Department of Medical and Surgical Sciences, University of Foggia, Italy
Lower urinary tract symptoms Benign prostatic hyperplasia Prostate cancer Bladder cancer Detrusor overactivity Detrusor underactivity Elderly

Abstract

Lower urinary tract symptoms (LUTS) are common among elderly men and they may be linked to benign and
malignant diseases of prostate and bladder, because of their shared inflammatory pathophysiology involving
also the immune system. Actually the prostate should not be considered the only target of treatment in the
management of male LUTS: it is necessary to treat bladder outlet obstruction, but also bladder and urethra.
LUTS (particularly when refractory to therapy) often represent the starting point for identifying such conditions,
requiring a specific and comprehensive approach. In this review, LUTS have been analysed with their association
to the most frequent urological diseases as benign prostatic hyperplasia, prostate cancer, bladder cancer,
and detrusor overactivity/underactivity, in a complex system of the elderly men.

Affiliations

V. Mancini

Urology and Renal Transplantation Unit, Department of Medical and Surgical Sciences, University of Foggia, Italy

M. Balzarro

Department of Urology, AOUI Verona, Italy

E. Illiano

Andrological and Urogynecological Clinic, Santa Maria Hospital of Terni, University of Perugia, Terni, Italy

A. Hoznek

Department of Urology, Henri Mondor Hospital, Créteil, France

G. Stallone

Nephrology, Dialysis and Transplantation Unit, Department of Medical and Surgical Sciences, University of Foggia, Italy

G. Carrieri

Urology and Renal Transplantation Unit, Department of Medical and Surgical Sciences, University of Foggia, Italy

Copyright

© Società Italiana di Gerontologia e Geriatria (SIGG) , 2018

How to Cite

[1]
Mancini, V., Balzarro, M., Illiano, E., Hoznek, A., Stallone, G. and Carrieri, G. 2018. Lower urinary tract symptoms in elderly men: a simple yet comprehensive approach. JOURNAL OF GERONTOLOGY AND GERIATRICS. 66, 4 (Dec. 2018), 245-252.
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