Evaluation and management of transient lower urinary tract symptoms (LUTS) after surgery for Benign prostatic obstruction (BPO): a systematic review.
Giacomo Gallo, Riccardo Lombardo, Antonio Cicione et al.
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In 30 seconds
This systematic review assessed treatments and evaluation methods for transient lower urinary tract symptoms after benign prostatic obstruction surgery in men. It included nine randomized clinical trials, with most evidence relating to transurethral resection of the prostate. Assessment methods and timing varied substantially. Anticholinergic drugs appeared to provide the greatest symptom improvement, but evidence was low; alpha-blockers showed no significant additional benefit. Phytocomplexes improved quality of life, while pelvic floor muscle exercises reduced symptom-related bother. Overall, the review found the evidence limited and current management strategies heterogeneous.
Key findings
- Nine randomized clinical trials were included; most available data concerned transurethral resection of the prostate.
- Anticholinergic drugs appeared most effective for postoperative LUTS, although the level of evidence was low.
- Alpha-blockers did not appear to provide significant additional benefit in this setting.
- Phytocomplexes improved quality of life, and pelvic floor muscle exercises reduced symptom-related bother.
Why it matters
Transient urinary symptoms after BPO surgery are assessed and managed inconsistently, and the available trial evidence does not establish a robust approach. The review helps distinguish interventions with some reported benefit from those without apparent additional benefit, while underscoring that these findings are not strong enough to support firm recommendations.
What to keep in mind
Only nine RCTs were included, assessment methods and timing varied considerably, and the evidence for anticholinergic efficacy was low.