Conclusions and future research
LUTS
Guidelines recommend conservative management as the preferred treatment for LUTS in men. The TRIUMPH study showed that a standardised and manualised intervention achieved a sustained reduction in LUTS (difference in mean IPSS at 12 months of −1.81), which was less than the predefined target reduction of 2.0 points.Future research will be directed at integrating the TRIUMPH intervention into general practice infrastructure, adapting it for patients with low literacy or whose first language is not English, including training materials, approaches to interpretation, and access to the standardised booklet. Potentially, many of the symptoms managed in this way are also experienced by women, raising the possibility of developing an equivalent standardised and manualised approach to managing LUTS in female patients.