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Clinical Approaches to Managing Male LUTS with Dr. Benjamin Brucker, Dr. Craig Comiter, Dr. Chris Tenggardjaja on the BackTable Urology Podcast
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BackTable Urology

Episode # 293  •  10 Mar 2026

Clinical Approaches to Managing Male LUTS

When a male patient presents with lower urinary tract symptoms, should you blame the bladder or bust the prostate? In this SUFU-sponsored episode of BackTable Urology, Dr. Benjamin Brucker (NYU) and Dr. Craig Comiter (Stanford) join host Dr. Chris Tenggardjaja (Kaiser Permanente) for a discussion on evaluating and treating male LUTS using a bladder-and-outlet framework.

Timestamps

00:00 - Introduction
06:31 - Workup for Frequency and Nocturia
11:41 - When to Use a Voiding Diary
19:18 - Behavioral Therapy
26:40 - Post-Finasteride Syndrome
30:03 - Surgical Options
44:41 - Nocturia Counseling
47:32 - Botox With Outlet Surgery
49:47 - When to Order Urodynamics
54:14 - Bladder or Prostate?

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More about this episode

Through a case-based approach, they review initial evaluation strategies including symptom history, validated questionnaires, uroflowmetry, post-void residual measurement, and when tools like voiding diaries can help clarify the diagnosis. The conversation then moves to management, outlining a stepwise approach from behavioral interventions and medications to surgical options when symptoms persist. The doctors discuss how prostate anatomy, side effect profiles, and patient priorities guide treatment selection, when urodynamics may add diagnostic clarity, and why addressing outlet obstruction early may help prevent more difficult-to-treat bladder dysfunction over time.

The Materials available on BackTable are provided for informational and educational purposes only and are not a substitute for the independent professional judgment of a qualified healthcare professional in diagnosing or treating patients. Any opinions, statements, or views expressed are those of the individual contributors and do not necessarily reflect those of the publisher, platform, or any affiliated organization.

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