Lower urinary tract symptoms in men
prostate, Lower urinary tract symptoms, Prostate, nocturia, LUTS
NOCTURIA, PROSTATE, PROSTATE
Lower urinary tract symptoms (LUTS) in men can be caused by structural or functional abnormalities of the bladder, prostate gland, or urethraVoiding LUTS are problems passing urine, such as hesitancy, slow urinary stream, and dribblingStorage LUTS include urgency, increased urinary frequency, and nocturia. Storage LUTS can be due to increased urine volumes from high fluid intake or systemic conditions (cardiovascular, respiratory, renal, or endocrine)Patients may experience one or more LUTS, and the severity of each symptom may not correlate with how much patients consider the symptoms to be bothersomeLUTS can be measured using the International Prostate Symptom Score (IPSS), with scores of 0-7 categorised as mild overall severity, 8-19 as moderate, and 20-35 as severeNICE and the European Association of Urology recommend using conservative treatments for LUTS initially, including bladder training, advice on fluid intake, and lifestyle advice, although evidence on effectiveness of these measures is lacking.As provision for LUTS in men in primary care is inconsistent, primary care health professionals require practical resources to support the assessment of urinary symptoms and to enhance patient engagement with conservative management interventions. We aimed to address this need in the Treating Urinary Symptoms in Men in Primary Healthcare (TRIUMPH) study. The main objective was to determine whether a standardised and manualised care intervention in men in primary care in the UK could achieve superior improvement of LUTS compared with usual care. The primary outcome was overall International Prostate Symptom Score (IPSS) measured 12 months after participants had consented to participate in the study.