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
Departement of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry
Correspondence Address:
S Kumar Departement of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry
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 limitations 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 insufficiency 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.