■臨床医のために
高齢男性における下部尿路症状LUTSとは?
鈴木 康友, 齋藤 友香, 近藤 幸尋
日本医科大学大学院医学研究科外科治療学(泌尿器外科学)
Commentary on Lower Urinary Tract Symptoms in Elderly Men
Yasutomo Suzuki, Yuka Saito and Yukihiro Kondo
Department of Urologic Surgery, Graduate of School of Medicine, Nippon Medical School

The lower urinary tract symptoms in elderly men are composed of from voiding symptoms and storage symptoms. The representative disease with voiding symptoms is benign prostatic hyperplasia, and the representative syndrome with storage symptoms is overactive bladder and nocturia. Diagnosis by asking questions that use International Prostate Symptom Score and the overactive bladder symptom score is important. The first-line drugs for the treatment of the lower urinary tract symptoms are α1-blockers. Behavior therapy and anticholinergic drugs are also useful for treating storage symptoms.
日医大医会誌 2010; 6(3), 130-134
Key words
lower urinary tract symptoms, elderly men, International Prostate Symptom Score, overactive bladder symptom score, α1-blocker
Correspondence to
Yasutomo Suzuki, Department of Urology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku Tokyo 113-8603, Japan
E-mail:yasu17@nms.ac.jp
受付:2010年2月8日 受理:2010年3月23日 |