Survey by Urological Society of India (USI) to understand practice patterns in diagnosis and medical management of voiding LUTS secondary to Benign Prostatic Obstruction (BPO)

Dr. R.B. Sabnis; Dr. T.P. Rajeev; Dr. Sanjay Sinha; Dr. Aneesh Srivastava; Dr. Rajan Mittal

Volume : VIII, Issue : V, May - 2019

Survey by Urological Society of India (USI) to understand practice patterns in diagnosis and medical management of voiding LUTS secondary to Benign Prostatic Obstruction (BPO)

Dr. R. B. Sabnis, Dr. T. P. Rajeev, Dr. Sanjay Sinha, Dr. Aneesh Srivastava, Dr. Rajan Mittal

Abstract :

To ascertain practice patterns and attitude of Indian Urologists with regard to voiding LUTS in men due to BPO, a questionnaire was prepared & validated by USI, and was sent to 2100 member urologists by email & response was collected online. The response rate was 29.9%. Of these, 20.4% were academic and 79.6% in community/private practice. Almost all urologists routinely used ultrasound (85.2%) and digital rectal examinations (81.1 %) for lower urinary tract symptoms diagnosis. 55.9% of Indian urologists preferred α–blockers as the therapy of first choice for all patients, while 44.1% prescribed 5α–reductase inhibitors in combination with an α–blocker to patients with clinically enlarged prostates (weight >50 g) at the outset. Summary: Indian urologists consider α–blockers as primary treatment for all patients of LUTS due to BPO. Although practice pattern is consistent with published guidelines, there are variations which need to be addressed in forming Indian guidelines