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The Urodynamics for Prostate Surgery Trial

Presented By
Prof. Marcus Drake, Prof. Stavros Gravas, Prof. Ferdinando Fusco
EAU 2019
Insights from the UPSTREAM study, the best time for intervention, clinical efficacy for BPH, and invalidating fake news were covered during “What is the optimal treatment for patients with male LUTS?”. The Urodynamics for Prostate Surgery Trial; Randomised Evaluation of Assessment Methods (UPSTREAM) compared two assessment pathways for men who are seeking further treatment for difficulty passing urine, including the possibility of surgery. In his presentation, Prof. Marcus Drake (North Bristol Hospital, United Kingdom) shared that symptom outcomes are non-inferior when urodynamics (UDS) is included in the assessment of male lower urinary tract symptoms (LUTS). However, in a patient preference analysis, most patients supported the inclusion of UDS to facilitate understanding of their condition. One problem that must be addressed, according to Prof. Drake, is that presenting symptoms are of...

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