European Journal of Cardiovascular Medicine

Lower urinary tract infections are accountable for a huge number of presentations in general practice and were treated with regular antibiotic prescriptions. But, they cause a significant financial burden while seeking treatment services. In our prospective study, that took place over 18 months at Katuri Medical College and Hospital, was done to determine the etiology and treatment modalities of lower urinary tract symptoms. Our Objectives were- 1. To assess various etiological factors causing lower urinary tract symptoms among patients attending the outpatient department at Katuri Medical College and Hospital. 2. To investigate the etiological factor causing lower urinary tract symptoms among the patients. 3. To evaluate various treatment options available for management of lower urinary tract symptoms. Results: A total of 87 patients who were screened and a sample size of 30 cases had been selected with objective evidence of LUTS on whom an surgical intervention is needed. It was found that the highest incidence of LUTS in males was in 7th decade, and then sixth and eight decade, meanwhile, the lowest incidence was seen in ninth decade. In this present study, major proportion i.e., 73.33% (22cases) were men and the remaining 2 6.67% (8 cases) are females. Patients presented with the following complaints. 1. Frequency and nocturia were found in highest number of cases i.e., 28 (76.67%). 2. Weak Stream was in the least number of patients i.e.,11 (36.67%). 3. Intermittency and Urgency were found to be suffered by 60% and the later was observed to be present in 70% of the study subjects. The most common cause was BPH which was observed in 53.33% followed by bladder stones (23.33%), carcinoma prostate (10%), Urethral stricture (10%) and bladder carcinoma (3.37%). Out of 30 cases of LUTS, 14 underwent TURP, 5 cases underwent cystolithotripsy, 1 underwent radical cystectomy and ileal conduit, 1 underwent VIU, 2 underwent urethroplasty, 5 underwent open prostatectomy, 2 underwent cystolithotomy.