Acta clinica Croatica, Vol. 54. No. 4., 2015.
Izvorni znanstveni članak
Croatian urologists' clinical practice and compliance with guidelines in the management of non-neurogenic male lower urinary tract symptoms
Igor Tomašković
; Department of Urology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; Faculty of Medicine, Josip Juraj Strssmayer University, Osijek, Croatia
Miroslav Tomić
; Department of Urology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Sven Nikles
; Department of Urology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Ivan Neretljak
; Department of Urology, Merkur University Hospital, Zagreb, Croatia
Valerija Miličić
; Department of Clinical Cytology, Osijek University Hospital Center, Osijek, Croatia; Faculty of Medicine, Josip Juraj Strssmayer University, Osijek, Croatia
Sažetak
The aim of this study was to assess the Croatian urologists’ management of non-neurogenic male lower urinary tract symptoms (LUTS) and their compliance with the European Association of Urology (EAU) guidelines. A cross-sectional survey included 51/179 Croatian
urologists. We developed a questionnaire with questions addressing compliance with EAU guidelines. The rate of performing recommended evaluations on the initial assessment of patients with benign prostate hyperplasia (BPH)/LUTS varied from 8.0% (serum creatinine and voiding diary) to 100.0% (physical examination, prostate specific antigen and ultrasound). The international prostate symptom score was performed by 31%, analysis of urine sediment by 83%, urine culture by 53%, and serum creatinine by 8% of surveyed urologists. Only 8% of urologists regularly used bladder diary in patients with symptoms of nocturia. Our results indicated that 97% of urologists preferred alpha blockers as the first choice of treatment; 5-alpha reductase inhibitors (5ARI) were mostly prescribed (84%) in combination with an alpha-blocker, preferably as a continuous treatment, whilst 29% of urologists used to discontinue 5ARI after 1-2 years. Half of the Croatian urologists used antimuscarinics in the treatment of BPH/LUTS and recommended phytotherapeutic drugs in their practice. In conclusion, Croatian urologists do not completely comply with the guidelines available.
Ključne riječi
Prostatic hyperplasia; Lower urinary tract symptoms; Guideline adherence
Hrčak ID:
155014
URI
Datum izdavanja:
1.12.2015.
Posjeta: 2.131 *