A healthy lifestyle, bladder training, and fluid management can help relieve lower urinary tract symptoms without medication. The study was published on: British Medical Journal (BMJ).
Lower urinary tract symptoms (LUTS) are a complex of disorders that include frequent urination, stress urinary incontinence, and strong urinary urgency, including at night. It is seen in 30% of men over the age of 65. Current NICE (National Institute for Health and Care Excellence) treatment recommendations include bladder training, fluid management and lifestyle changes. However, evidence regarding their effectiveness is insufficient and practices vary among doctors.
In a new study, researchers from Bristol Medical School confirmed that consulting a healthcare professional and being given an information leaflet with advice on lifestyle changes may be more effective than usual treatment.
The study included 1,077 adult men experiencing lower urinary tract symptoms between June 2018 and August 2019. 524 received the new treatment and 553 received the usual treatment. Nurse practitioners helped participants determine which part of the booklet they needed and then monitored the patients’ health remotely for 12 weeks.
When a standard leaflet was used in men with moderate disease, most symptoms improved within 12 months, and this approach was more effective than the usual approach.
“In primary care, we often traditionally rely on pharmaceutical treatments for men with bothersome urinary symptoms. The TRIUMPH study highlights the importance of discussing conservative measures with all these patients; for some men these may be sufficient, but for others they may be an adjunct to any prescribed medication,” he said of the study. one of its authors.
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