European Journal of Cardiovascular Medicine

Abstract: Introduction: Lower urinary tract symptoms (LUTS) is a common condition, with Benign prostatic hyperplasia (BPH) being a frequent condition in men over 50 years of age. The natural history of BPH is characterized by an age-dependent increase in histological changes and an increase in prostate size. Cystoscopy is often used in the diagnosis and treatment. This study aims to assess the relative use of cystoscopy in patients with LUTS. Methods: The study design is a descriptive, prospective study design. The targeted group were male patients above the age of 50 years who presented with lower urinary tract infection in Yastabshiron, and Ibn Sina hospitals between the periods of (August 2015-January 2016). Primary data collected from sampling units using a questionnaire containing questions of the variables of interest. The data was analyzed by using Statistical Package for Social Science (SPSS) and chi square for analysis with alpha level of significance 95%. All appropriate permission and consents were taken.Results: BPH was diagnosed in 90% of cases. 60% of patients had complications. The most common complications was Orchitis/Epididymitis and found to be in 26% in study participants, followed by hematuria in 18%, dysuria in 12% and stricture in 4%. The mean reduction in IPSS score for those receiving medical treatment was 4.8, while in the cystoscopy group it was 3.8. Independent sample t test analysis shows that there is a statistical difference between the cystoscopy and medical treatment groups (p=0.016). Conclusion: A trial of medical treatment was found to be significantly better at treating the symptoms of patients with LUTS as compared to cystoscopy. Since cystoscopy is associated with a high rate of complications, a trial of medical treatment should be the first line treatment.