INTRODUCTION: Lower urinary tract symptoms (LUTS) affect 18-26% of @entity1 aged 40-79 years, many of whom present with a fear of having @entity5 . Current guidelines for the assessment of LUTS focus mainly upon benign prostatic @entity1184 . It has been our practice to perform an abdominal ultrasound scan (USS), a @entity1486 (PSA) blood test and urine cytology during the assessment of males presenting with LUTS to investigate the alternative potentially life-threatening causes for LUTS. We report on the added value of these tests during the assessment of @entity1 with LUTS. RESULTS: A total of 263/3976 (6.6%) @entity1 investigated for LUTS were found to have incidental @entity5 , urinary tract calculi or @entity1028 ( @entity1028 ). Abdominal USSs resulted in the incidental diagnosis of four @entity703 (0.1%), 45 AAAs (incidence = 1.1%) and 44 urinary tract calculi (1.1%). Urine cytology testing and bladder USSs helped diagnose 17 new @entity150 (0.4%), five of which did not present with haematuria. @entity1 found to have an elevated age-specific PSA had a 23.6% chance of being diagnosed with @entity263 (3.8%). CONCLUSION: The addition of abdominal ultrasound scanning, urine cytology and PSA testing as part of an LUTS assessment protocol can help to diagnose significant, potentially life-threatening conditions in up to 6.6% of @entity1 . While the pick up rate of each individual condition is not higher in the LUTS @entity1 than in the general population, the combined pick up rate may justify these additional investigations.

The diagnostic value of abdominal ultrasound, urine cytology and XXXX testing in the lower urinary tract symptoms clinic.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient', 'men'] @entity263 :: ('MESH:D011471', 'Disease') :: ['prostate cancer'] @entity1184 :: ('MESH:D006984', 'Disease') :: ['hypertrophy'] @entity5 :: ('MESH:D009369', 'Disease') :: ['urological malignancies', 'cancer'] @entity150 :: ('MESH:D001749', 'Disease') :: ['bladder cancers'] @entity1028 :: ('MESH:D017544', 'Disease') :: ['abdominal aortic aneurysms', 'AAA'] @entity1486 :: ('354', 'Gene') :: ['prostate-specific antigen'] @entity703 :: ('MESH:D007680', 'Disease') :: ['renal carcinomas']
@entity1486 :: (354,Gene) :: ['prostate-specific antigen']
