NICE issues male urinary tract commissioning guide

NICE has published advice on improving management of lower urinary tract symptoms (LUTS) in men.

The guide advises on commissioning of services for the one-in-four men aged over 40 who have these symptoms. It aims to improve clinical outcomes and emotional and physical wellbeing through accurate diagnosis and effective treatments in line with NICE clinical guideline 97.

NICE said the guide could also be used to estimate and inform the cost of commissioning decisions.

Professor Christopher Chapple, consultant urological surgeon who helped develop the guide, said: ‘Although LUTS in men are very common, there is currently a great deal of uncertainty and variation in clinical practice in terms of how patients with these symptoms are treated.’

He added the commissioning guide 'will help to ensure that those recommendations are embedded in a robust, efficient service that will improve outcomes for the many thousands of men who are diagnosed each year with LUTS'.

With age, the prevalence increases of lower urinary tract symptoms, such as needing to urinate urgently or frequently, retention of urine, hesitancy and incontinence.

These symptoms can have a considerable impact on a man’s physical, mental and social wellbeing, NICE said. They can also be caused by an underlying health concern, such as a urinary tract infection or prostate cancer.

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