Training in self-management reduces symptoms and treatment failures in LUTS
Self-management combined with standard care can significantly improve outcomes in men with lower urinary tract symptoms (LUTS).
A total of 140 men with LUTS were randomised to self-management plus standard care (n = 73) or standard care alone (n = 67). Training in self-management included education and lifestyle advice.
At three months treatment failure had occurred in 10 per cent of the self-management group and 42 per cent of the standard care group, a difference of 32 per cent. Differences in the frequency of treatment failure were 42 per cent and 48 per cent at six and 12 months respectively. At three months the mean international prostate symptom score was 10.7 in the self-management group and 16.4 in the standard care group, a difference of 5.7. At six and 12 months the corresponding differences in score were 6.5 and 5.1 respectively.
Brown CT, Yap T, Cromwell DA et al. Self-management for men with lower urinary tract symptoms: a randomised controlled trial BMJ 2007;334:25-8