World Journal of Urology

, Volume 24, Issue 4, pp 371–377

Self-management in lower urinary tract symptoms: the next major therapeutic revolution

Topic Paper

DOI: 10.1007/s00345-006-0090-2

Cite this article as:
Yap, T.L., Brown, C.T. & Emberton, M. World J Urol (2006) 24: 371. doi:10.1007/s00345-006-0090-2


The standard treatments for men with lower urinary tract symptoms (LUTS) range from watchful waiting to medical and finally surgical intervention. However, the role of self-management interventions such as education and reassurance, lifestyle modification and behavioural changes has not been formally investigated, although they are widely advocated and utilised for LUTS. Self-management interventions are well established in other chronic diseases such as diabetes, arthritis and asthma. These interventions, if successfully organised within a structured program for LUTS, could improve patient outcomes as well as reduce the economic burden of LUTS treatment, by replacing or augmenting other treatments. Recent studies showing that long-term urodynamic and symptomatic deterioration of LUTS is minimal suggest that this is a safe and valid treatment option. This is supported by a recent pilot study of a LUTS self-management program which showed significant improvements in I-PSS and frequency–volume parameters. The results of a recently completed randomised controlled trial are awaited.


Self-management Lower urinary tract symptoms Benign prostatic hyperplasia Watchful waiting 

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  1. 1.Clinical Effectiveness UnitRoyal College of Surgeons of EnglandLondonUK
  2. 2.Institute of Urology and NephrologyUniversity College HospitalLondonUK

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