In this episode of the Primary Care Knowledge Boost Podcast Doctors Lisa and Sara talk with Consultant Urologist Dan Burke about Lower Urinary Tract Symptoms in Men.
They start with how to divide symptoms into voiding and storage. Red flags to consider are discussed, before tackling cases that lead us to talk about bladder diaries, tips for assessing the prostate and how PSA discussions have changed since the introduction of MRI scans and transperineal prostate biopsies.
In discussing the thorny subject of prostate cancer and best treatment choices for individuals, they talk about radical treatment, advanced disease and the difference between watchful waiting and active surveillance.
Though they talk about men, it is well worth mentioning these symptoms will apply to all people with a prostate including trans women and some non-binary people.
Listen to the podcast episode at https://bit.ly/pckb-lut.
Useful resources:
- NICE Clinical Knowledge Summaries (Updated March 2019): https://cks.nice.org.uk/topics/luts-in-men/
- Guidelines in Practice (2014): Full assessment is key for men with lower urinary tract symptoms: https://www.guidelinesinpractice.co.uk/mens-health/full-assessment-is-key-for-men-with-lower-urinary-tract-symptoms/341437.article
- Urinary Frequency Charts to assess bladder volume, polyuria and nocturia: https://bladdermatters.co.uk/downloads/85923fchart.pdf
- LUTS in Men Tower Hamlets NHS guidelines (2012) includes patient information sheets: https://www.qmul.ac.uk/blizard/ceg/media/blizard/images/documents/Lower-Urinary-Tract-Symptoms-in-Men,-Care-Pathway,-January-2012.pdf
