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Treatment of lower urinary tract symptoms in men in primary care using a conservative intervention: cluster randomised controlled trial

Objective To determine whether a standardised and manualised care intervention in men in primary care could achieve superior improvement of lower urinary tract symptoms (LUTS) compared with usual care.

Design Cluster randomised controlled trial.

Setting 30 National Health Service general practice sites in England.

Participants Sites were randomised 1:1 to the intervention and control arms. 1077 men (≥18 years) with bothersome LUTS recruited between June 2018 and August 2019: 524 were assigned to the intervention arm (n=17 sites) and 553 were assigned to the usual care arm (n=13 sites).

Intervention Standardised information booklet developed with patient and expert input, providing guidance on conservative and lifestyle interventions for LUTS in men. After assessment of urinary symptoms (manualised element), general practice nurses and healthcare assistants or research nurses directed participants to relevant sections of the manual and provided contact over ....

United Kingdom , Charing Cross , City Of , Mandy Fader , Margaret Macaulay , Lukea Robles , Jonathan Rees , Madeleine Cochrane , Jodi Taylor , Matthewj Ridd , Gordon Taylor , Emily Sanderson , Stephaniej Macneill , Nikki Cotterill , Marcusj Drake , Jo Worthington , Lucy Mcgeagh , Clinical Research Networks , Care Research , Urology Department , British Association Of Urological Surgeons , European Association Of Urology , International Consultation On Incontinence Questionnaire , National Health Service , United Kingdom National Institute For Health , National Institute For Health ,