Lower Urinary Tract Symptom Assessment
Learn more about urinary tract symptoms and the service we offer.
Understanding your Urinary Symptoms
What diagnostic service do we offer for LUTS at the Prostate Health Clinic?
At the Prostate Health Clinic we provide access to cutting edge technology and expert opinion to guide your health journey
A LUTS assessment is 1 of the 5 core pillars of prostate health included in your assessment
Comprehensive Risk Assessment
Each assessment includes
- Symptom exploration and International Prostate Symtoms Score (IPSS) questionnaire
- Clinical examination
- Urinary flow rate and post void bladder scan
- Identifiation of risk factors predicting symptom progression
- Blood tests including : Prostate Specific Antigen (PSA) and renal function
- Bi-parametric MRI prostate scan – prostate volume and configuration assessment
Specialist Consultations
- X2 30 minute consultation with a specialist Urologist
- Imaging reviewed by specialist Radiologists
Tailored Advice
Detailed interpretation and explanation of your prostate investigations
Personalised lifestyle and medical recommendations tailored to manage your urinary symptoms
Holistic assessment of heart and testosterone health to further improve urinary symtoms management and lonvegity
How common are Urinary Symptoms?
Why do I pass urine more often especially at night?
This is a complex symptom with links to both the prostate and non-prostate health conditons.
Frequent urination — particularly waking at night (nocturia) — is a common in men over 45.
Lifestyle factors such as excessive caffeine, fizzy drinks or alcohol can contribute to fluctuations in night to night nocturia episodes.
The prostate may contribute to this symtoms as it enlarges with age (benign prostatic enlargement, BPE). The resultant compression on the bladder outlet, makes it harder to empty completely. The bladder then becomes unstable and results in the sensation to urinary more frequently in the day and night.
Furthermore, it can result from age related reduction in hormonal levels (anti-diuretic hormone, ADH). Reductions in this hormone increases the amount of urine produced during sleep and therefore the need to urinate at night.
Other causes include bladder overactivity, excess evening fluid intake, or less commonly, diabetes, heart problems, kidney disease or infection.
Why is my urine stream weaker than it used to be?
A slow or weak stream usually happens when the prostate squeezes the urethra (the urine channel), restricting flow.
This is one of the hallmark symptoms of prostate enlargement, but it can also occur with scarring of the urethra or bladder muscle weakness.
Why do I feel I haven't emptied my bladder completely?
Incomplete emptying often means the bladder is struggling to push urine past an obstruction — most commonly the prostate.
Residual urine left behind can cause repeated trips to the toilet, urgency, or even infection or bladder stones if left untreated.
Are these symptoms a sign of prostate cancer?
Not usually.
Most urinary symptoms in men are caused by benign (non-cancerous) prostate enlargement rather than cancer.
However, it’s important to check with a doctor, as prostate cancer can occasionally present with similar symptoms or be detected incidentally during prostate evaluation.
What treatments are available for urinary symptoms?
reatment depends on the cause and severity of symptoms:
Lifestyle changes: reducing caffeine/alcohol, limiting evening fluids, bladder training
Medications: to relax the prostate muscle or shrink its size
Minimally invasive procedures or surgery: for persistent or severe obstruction
A formal medical assessment (including urine flow test, bladder scan, and PSA if appropriate) helps guide the best option.
Frequently Asked Questions
How do urologists assess urinary symptoms?
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Prostate Cancer Risk Assessmet
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Testosterone Health Assessment
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Erectile Dysfunction Assessment
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Male Urinary Symptom Assessment
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Cardiovascular Health Assessment
The Prostate Health Assessment includes:
General Evaluation
- x2 30 minuite appointments with an expert Urologist
- Urine Dipstick X2
- Fully Medical History
- Physical Examination
- Blood Tests – To explore your health and organ functions
- Detailed report including findings, investigation or recommendations
Prostate Cancer Risk Assessment
Cutting edge technology
- Risk factors assessment
- Prostate physical examination
- Prostate Specific Antigen (PSA) blood test
- Biparametric MRI prostate scan
Testosterone Health Assessment
- Detailed history and examination
- Height / weight
- Blood pressure
- Testosterone level
- FSH/LH level
Erectile Dysfunction Risk Assessment
- Medication review
- Physical examination
- Questionnaire – SHIIM
- Testosterone blood analysis + LH/FSH/SHBG
Cardiovascular Health Assessment
- History and examination
- Height/weight/blood pressure
- Cholesterol and HbA1c levels
- Qrisk3 risk assessment
Male Urinary Symtoms
- Detailed urinary symptom assessment
- International Prosate Symtoms Score (IPSS)
- Physical examination
- Flow rate and post void scan
- PSA, renal function blood test
- Prostate MRI scan (Prostate sizing and anatomical configuration)