Condition
Male lower urinary tract symptoms (LUTS)
Urinary symptoms in men are common, treatable and rarely trivial. A proper assessment identifies the underlying cause and matches it with the right, personalised treatment.
Overview
What is this condition?
Lower urinary tract symptoms (LUTS) is a term for a group of urinary symptoms — including storage symptoms (urgency, frequency, nocturia) and voiding symptoms (weak stream, hesitancy, dribbling).
The most common cause in men over 50 is prostate enlargement, but overactive bladder, urethral narrowing and other conditions can produce similar symptoms.
Common symptoms
Symptoms to be aware of
Symptoms vary from person to person. Specialist assessment helps determine the underlying cause.
Weak or slow stream
Waking at night to pass urine
Urgency to pass urine
Frequency during the day
Difficulty starting
Dribbling after finishing
Possible causes
What can cause it
Prostate enlargement (BPH)
The most common cause in older men.
Overactive bladder
A common contributor, particularly to storage symptoms.
Urethral stricture
A narrowing of the urethra can cause weak flow.
Prostate cancer
Uncommon presentation but always considered.
Chronic prostatitis
Can cause discomfort and irritative symptoms.
Many causes are benign and highly treatable. A structured consultant-led assessment is the fastest way to reach a clear diagnosis and a personalised plan.
When to seek medical advice
Some symptoms should always prompt prompt specialist review. Please seek urgent medical advice — through your GP, NHS 111 or A&E — if you notice any of the following.
- Inability to pass urine
- Blood in the urine
- Bone pain with LUTS
- Rapidly worsening symptoms
- Recurrent urinary infections
Diagnosis
How the diagnosis is made
Diagnosis follows a clear, patient-centred pathway — often completed within one or two visits.
- 01
Medical history
Structured symptom scoring (IPSS) and quality-of-life impact.
- 02
Examination
Abdominal and prostate examination.
- 03
Urine tests
To exclude infection and blood.
- 04
Blood tests
Kidney function and PSA where appropriate.
- 05
Flow rate and residual
Objective measures of bladder emptying.
- 06
Cystoscopy or ultrasound
Where indicated by symptoms or findings.
Treatment options
Treatments tailored to you
Treatment is personalised through shared decision-making. Both conservative and procedural options are considered where appropriate.
Frequently asked questions
Your questions, answered
Why patients choose Mr Teleb
Consultant-led urology care you can trust.
Consultant-led care
Every consultation, investigation and follow-up is with Mr Teleb personally.
NHS Consultant
Substantive Consultant Urologist at University Hospital of Wales.
Evidence-based treatment
Modern, guideline-based care delivered to a high standard.
Rapid access
Most new patients are seen within a few days.
Personalised management
Treatment plans tailored to your anatomy, health and priorities.
Clear communication
Unhurried explanations, written summaries and shared decision-making.
Related procedures
Patient information
Concerned about your symptoms?
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Mr Teleb personally reviews every enquiry. If your symptoms are worrying you, a consultation is the fastest way to a clear diagnosis and a personalised plan.
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FRCS (Urol)
Fellowship-trained consultant
5.0 patient rating
Verified private reviews
Seen within days
Same-week appointments
All major insurers
BUPA · AXA · Aviva · Vitality · WPA