Management of lower urinary tract symptoms in men: summary of NICE guidance

Categories of lower urinary tract symptoms3 Storage (also symptoms of overactive bladder) Urgency Increased daytime frequency Nocturia Urinary incontinence Voiding Hesitancy Straining Slow stream Splitting or spraying Intermittency Terminal dribble Post-micturition Post-micturition dribble Feeling of incomplete emptying Initial assessment At initial assessment (in any setting and by a healthcare professional without specific training in managing LUTS in men) take the following actions. [Based on randomised controlled trials, longitudinal studies, and the experience and opinion of the GDG] Offer a serum creatinine test (plus calculation of estimated glomerular filtration rate) only if you suspect renal impairment (for example, if the man has a palpable bladder, nocturnal enuresis, recurrent urinary tract infections, or a history of renal stones).