A GP's notes

摘要

Interestingly, NICE initially commissioned two guidelines, one for benign prostatic hyperplasia and a second for LUTS. At a very early stage however, they recognised that a single LUTS guideline was more appropriate. This reflected a desire to move away from the concept of 'prostatism' towards an open-minded and holistic approach to the possible causes of symptoms in any given patient, ranging from factors such as excessive fluid intake, through heart failure and diabetes, to overactive bladder, and benign prostatic enlargement. The paper quoted in the editorial3 describing the conclusions of an expert panel, which the authors of the editorial felt ran contrary to our approach, had as first author Professor Chris Chappie, the chairman of our GDG, and was published in 2008, during the NICE guideline's consultation period.