Urology  |  Lower Urinary Tract Symptoms (Males)


Lower Urinary Tract Symptoms (Males)

  1. Check MSU, Creatinine, PSA.

  2. If symptoms affecting quality of life, trial alpha blocker for 3 months (doxazosin or terazosin). If not tolerated or ineffective, start tamsulosin (Special Authority). Tamsulosin is available on special authority if non-selective alpha blockers are not tolerated or contraindicated. Apply for the authority online or click here for application form.

  3. For nocturia, limit caffeine and fluid intake at night. Nocturia is often multifactorial e.g. nocturnal polyuria, CHF, insomnia.

  4. Refer if:

    • Urinary retention.
    • Recurrent urinary tract infections.
    • Renal impairment.
    • Alpha blockers ineffective (minimum of 6 weeks trial) or patient intolerant of alpha blockers.
    • Nocturia not improving (with voiding diary).

Last updated : Thursday, July 28, 2016
Next review date : Friday, July 28,2017

Disclaimer: This site is intended to be flexible and frequently updated. While every effort has been made to ensure accuracy, all information should be verified.