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Diagnosis and Management of the Male Patient With LUTS

  • Authors: Matt T. Rosenberg, MD
  • CME / ABIM MOC Released: 12/24/2018
  • Valid for credit through: 12/24/2019
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Target Audience and Goal Statement

This activity is intended for urologists and primary care providers who are in a position to identify and/or manage male patients with LUTS.

The goal of this activity is to facilitate timely differential diagnosis, treatment, and referral among men presenting with lower urinary tract symptoms (LUTS).

Upon completion of this activity, participants will:

  • Have increased knowledge regarding the
    • Identification of symptoms that should prompt referral to a specialist/urologist
  • Have greater competence related to
    • Differential diagnosis of LUTS
    • Development of an appropriate management strategy for patients with overactive bladder
    • Timely referral to a specialist for individuals who are not responding to treatment


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Medscape, LLC, encourages Authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.


  • Matt T. Rosenberg, MD

    Mid-Michigan Health Centers
    Jackson, Michigan


    Disclosure: Matt T. Rosenberg, MD, has disclosed the following relevant financial relationships:
    Served as an advisor or consultant for: Astellas Pharma, Inc.; Avadel Pharmaceuticals; Ferring Pharmaceuticals; OPKO Health
    Served as a speaker or a member of a speakers bureau for: Astellas Pharma, Inc.; Avadel Pharmaceuticals
    Owns stock, stock options, or bonds from: OPKO Health


  • Pakinam Aboulsaoud, PharmD

    Scientific Director, Medscape, LLC


    Disclosure: Pakinam Aboulsaoud, PharmD, has disclosed no relevant financial relationships.

  • Lynn Kolton Schneider, PhD

    Freelance Medical Writer


    Disclosure: Lynn Kolton Schneider, PhD, has disclosed no relevant financial relationships.

CME Reviewer

  • Amy Bernard, MS, BSN, RN-BC, CHCP

    Lead Nurse Planner , Medscape, LLC


    Disclosure: Amy Bernard, MS, BSN, RN-BC, CHCP, has disclosed no relevant financial relationships.

Peer Reviewer

This activity has been peer reviewed and the reviewer has disclosed the following relevant financial relationships:

Served as an advisor or consultant for: Johnson and Johnson Healthcare; Shire Pharmaceuticals

Accreditation Statements

In support of improving patient care, Medscape, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    For Physicians

  • Medscape, LLC designates this enduring material for a maximum of 1.0  AMA PRA Category 1 Credit(s)™ . Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

    Medscape, LLC staff have disclosed that they have no relevant financial relationships.

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This activity is designed to be completed within the time designated on the title page; physicians should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 75% on the post-test.

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Diagnosis and Management of the Male Patient With LUTS

Authors: Matt T. Rosenberg, MDFaculty and Disclosures

CME / ABIM MOC Released: 12/24/2018

Valid for credit through: 12/24/2019


The following cases are modeled on the interactive grand rounds approach. The questions within the activity are designed to test your current knowledge. After each question, you will be able to see whether you answered correctly and read evidence-based information that supports the most appropriate answer choice. The questions are designed to challenge you; you will not be penalized for answering the questions incorrectly. At the end of the activity, there will be a short post-test assessment based on the material presented.

Case 1: Chris

Chris is a 50-year-old data analyst who presents to his primary care provider (PCP) with complaints of lower urinary tract symptoms (LUTS), including urinary urgency, frequency, and nocturia. He notes the nocturia is particularly bothersome because it wakes him (and thus his wife) a few times each night.

He reports that he is a social drinker, does not use recreational drugs, and had a vasectomy 4 years earlier. He has a history of mild hypertension (135/85 mm Hg) that is untreated, and moderate obesity (body mass index = 28.3). He was a prior smoker but quit cold turkey 10 years ago. He has an allergy to penicillin. Chris reports taking over-the-counter (OTC) nonsteroidal anti-inflammatory drugs (NSAIDs), as needed on occasion, and is currently taking an OTC decongestant to help deal with his seasonal (Fall) allergies.

While looking over his record, the PCP realizes Chris has not been seen in his office for over a year, so (as per insurance quality measures) the PCP takes the opportunity to do a complete examination.

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