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Getting a Read on LUTS: April 29, 2014

It’s almost 50-50. Nearly 50% of men over the age of 50% will at some point experience lower urinary tract symptoms, also called LUTS.

‘Patients that wake up several times at night, have urgency, frequency…” describes Dr. Meir Daller, urologist on staff at Lee Memorial Health System.

LUTS is a collection of symptoms that result in a voiding problem - falling into the categories of irritating or obstructive. To help patients, doctors will conduct tests to measure flow. The go-to test used to require the insertion of a catheter.

“The problem with using urodynamics on patients is that it’s invasive. The patients don’t like it, we have difficulty to get the patients to do the procedure,” Dr. Daller says.

Now there’s a simpler, less invasive way to get the same basic information. Called the Uro-cuff, it is a diagnostic tool used in the doctor’s office. Sensors measure pressure and flow rate.

“It takes about five minutes to do the procedure. I get the report right away,” Dr. Daller says. “I tell them the strength of the flow, I tell them whether we’re on the right track, are they getting obstructed, non-obstructed, are they emptying their bladder well.”

An enlarged prostate or BPH is one of the most common causes of LUTS- if men are having problems emptying their bladder, they can expect periodic exams to see how their treatment is working. Because this test is quick and painless, patients are more likely to comply.

“I can follow these patients very well. I can see if I’m doing the right thing for them: the medication, or diet modification, or procedure that I’ve done.”

It all begins with getting a good read on the situation.