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Carol Hutner Winograd, MD; Meghan B. Gerety, MD

JAMA. 1993;270(2):213-216.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Physicians are increasingly aware of the importance of common geriatric conditions, such as symptomatic urinary tract outlet obstruction, falls, and multiple drug use. Clinical experience and recent data now substantiate that multifactorial treatment can help patients with prostatism and falls and can reduce inappropriate drug use. Prostatic hyperplasia is often the underlying cause of symptomatic outlet obstruction, nocturia, frequency, and occasional urinary incontinence, but the association between digital examination, voiding symptoms, and urodynamic measures of outlet obstruction is weak. Moreover, symptoms and signs classically considered obstructive, eg, increased postvoid residual and straining to void, can also result from a weak detrusor muscle. Controversy exists about treatment, in part because new medical therapies can improve symptoms.

Surgical resection, until recently the mainstay of treatment, focuses on relieving mechanical obstruction. Although 70% to 90% of patients experience reduction in symptoms after surgery, the quality of life may improve most for patients with . . . [Full Text PDF of this Article]

Author Affiliations
Stanford University School of Medicine, Palo Alto, Calif, and Palo Alto Veterans Affairs Medical Center; Audie L. Murphy Memorial Veterans Hospital, San Antonio, Tex, and University of Texas Health Sciences Center at San Antonio

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