An anatomical functional and aetiological classification of lower urinary tract symptoms to facilitate understanding and diagnosis storage insufficiency symptom trouble score (SI-STS) and emptying insufficiency symptom trouble score (EI-STS) for facilitating therapeutic decision making in obstructive BPH
S Kumar
Dept. of Urology, JIPMER, Pondicherry, India
Correspondence Address:
S Kumar Dept. of Urology, JIPMER, Pondicherry India
Source of Support: None, Conflict of Interest: None
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Limitations of the current usage of the term "lower urinary tract symptoms" and its classifications are briefly reviewed and an anatomical- functional and aetiological classification of lower urinary tract symptoms is proposed to facilitate understanding and diagnosis. Further, the limi- tations of available scoring systems for lower urinary tract symptoms as applied to therapeutic decision making in obstructive BPH are summarised and a Storage Insufficiency Symptom Trouble Score (SI-STS) and Emptying In- sufficiency Symptom Trouble Score (EI-STS) are proposed for facilitating therapeutic decision making in obstructive BPH. A decision-making matrix is also presented for choosing appropriate treatment.