Erschienen in:
28.03.2017 | BPH-Related Voiding Dysfunction (R Lee, Section Editor)
Urinary Biomarkers for Bladder Outlet Obstruction
verfasst von:
Katia Monastyrskaya, Fiona C. Burkhard
Erschienen in:
Current Bladder Dysfunction Reports
|
Ausgabe 2/2017
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Abstract
Purpose of Review
Lower urinary tract symptoms (LUTS) in elderly men are often caused by bladder outlet obstruction (BOO) as a result of benign prostatic hyperplasia (BPH). The consequences of BOO-induced LUTS include the low compliance high pressure bladder as well as the high volume low pressure bladder with loss of bladder function.
Recent Findings
Timely diagnosis of BOO may help prevent bladder decompensation and preserve organ contractility. In this review, we will discuss the latest developments in the quest for reliable urinary biomarkers of BPH-induced benign prostatic obstruction (BPO). We will summarise the possible mechanisms of BOO-induced bladder remodelling and their implications for the diagnosis and therapy of BOO-induced LUTS.
Summary
A number potential of urinary biomarkers and non-invasive tests have been proposed for BOO, but do not seem to have enough specificity and sensitivity. Combinations of proteins, miRNAs and small molecules need to be evaluated to increase the reliability and discriminative potential of biomarkers.