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For mild to moderate LUTS symptoms conservative management and referral to Bladder and Bowel Care Service should be tried before commencing drug treatment.
The following requires specialist referral:
NICE CG97 recommends men with LUTS should be offered information, advice and time to decide if they wish to have PSA testing if:
It is essential that patients are thoroughly counselled on the meaning and uncertainties surrounding PSA levels to avoid unnecessary worry.
NICE CG97 contains advice on conservative management of LUTS. See below for lifestyle advice.
Lifestyle advice