Abstract
Lower urinary tract symptoms (LUTS) is a global term which includes symptoms caused by failure to store urine and empty bladder, and post-micturition symptoms. The term LUTS was initially coined in 1994. Before that urinary symptoms were frequently attributed to a particular organ such as prostate. Since then organocentric terms such as ‘prostatism' have become increasingly obsolete and International Continence Society (ICS) in 2002 formally classified LUTS into storage, voiding and post-micturition symptoms. This approach acknowledges long held notion that the bladder is an unreliable witness and relies instead upon a more descriptive approach, with no underlying aetiology or specific organ assumed to be responsible for symptoms experienced. doi:10.4038/cmj.v53i4.279 Ceylon Medical Journal Vol. 53, No. 4, December 2008 117-120
Highlights
Lower urinary tract symptoms (LUTS) is a global term which includes symptoms caused by failure to store urine and empty the bladder, and post-micturition symptoms
Overactive bladder (OAB) syndrome is a condition which encompasses these storage symptoms. It is defined by the presence of urinary urgency, and frequently associated with detrusor overactivity (DO) on urodynamic investigation [2]
Current treatment strategies for male LUTS tends to focus on the prostate and bladder outlet. These findings have implications regarding the management of LUTS in men, and there is growing interest in the use of therapies which were previously predominantly used to control storage symptoms only in women
Summary
Established 1887 The Official Publication of the Sri Lanka Medical Association Volume 53, No., December 2008 Quarterly ISSN 0009–0875. Assistant Editors Dennis Aloysius MBBS, FCGP D N Atukorala MD, FRCP Sarath Gamini de Silva MD, FRCP S A S Goonawardena MS, FRCS Dulani Gunasekara MD, MRCP A Pathmeswaran MBBS, MD Lalini Rajapakse MD, MSc Channa Ranasinha MRCP, DTM & H Udaya Ranawaka MD, MRCP Kolitha Sellahewa MD, FCCP Sivakumar Selliah MBBS, MPhil Harshalal R Seneviratne DM, FRCOG Shalini Sri Ranganathan MD, PhD
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