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LUTS Evaluation<br />

Focused HPE<br />

UA/PSA Blood Sugar<br />

Unlikely OAB/BPH/SI<br />

Treat or Refer<br />

Likely OAB/BPH/SI<br />

Provisional<br />

OAB/SI<br />

Desires<br />

Treatment<br />

Yes<br />

Treat for BPH<br />

Assess and<br />

Treat OAB/SI<br />

Refer<br />

Provisional BPH<br />

Ineffective<br />

Ineffective<br />

No<br />

Effective<br />

Effective<br />

Watchful<br />

Waiting<br />

Continue<br />

Medication<br />

Continue<br />

Medication<br />

HPE, history and physical exam; PSA, prostate-specific antigen; SI, stress incontinence; UA, urinalysis.<br />

Rosenberg MT, et al. Int J Clin Pract. 2007;61(9):1535-1546. PMID: 17627768.

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