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Organo Oficial de la Sociedad Mexicana de Urología

2007, Number 1

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Rev Mex Urol 2007; 67 (1)

Nuevos conceptos en el tratamiento de los síntomas de vejiga hiperactiva asociados a obstrucción del vaciamiento vesical secundario a crecimiento prostático benigno

Feria BG

Language: Spanish
References: 21
Page: 49-55
PDF size: 114.05 Kb.


ABSTRACT

The new terminology for lower urinary tract symptoms allows us to classify these symptoms with precision. Those secondary to bladder outlet obstruction tend to improve with alpha-blockers.When the prostate is greater than 40 g the addition of a 5 alpha-reductase inhibitor is recommended. Primary detrusor overactivity or that secondary to bladder outlet obstruction can present itself as overactive bladder and can be managed with antimuscarinics; particularly when post-void residual volume is moderate. The potential risk of urinary retention has not been confirmed in a number of clinical trials, thus its usage is considered safe and effective.


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