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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


Puni tekst: engleski pdf 224 Kb

str. 453-457

preuzimanja: 462

citiraj


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

https://hrcak.srce.hr/155014

Podaci na drugim jezicima: hrvatski

Posjeta: 1.141 *