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Urinary classes aid

Self-management classes can dramatically cut the need for drug therapy or surgery in men with urinary problems.

A new study, published online by the BMJ, found patients who took classes were just a quarter as likely to need further treatment as those who did not. Symptom scores were also significantly lower in patients who self-managed.

Study leader Mr Mark Emberton, reader in oncology at the Institute of Urology, University College London, described the results as 'impressive'.

He said: 'BPH is a chronic, incurable condition. Once you are on drugs you are on them for life. We have shown self-management is as good as or better than drug therapy for a year and maybe longer.'

The researchers conducted a randomised controlled trial in 140 outpatients monitored for moderate BPH by two Lon-

don hospitals. Self-management classes were designed to help patients make appropriate lifestyle changes through goal setting and problem solving.

Written information on simple lifestyle adjustments was provided to both groups.

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