Male Lower Urinary Tract Symptoms Treatment in Newcastle
Lower urinary tract symptoms (LUTS) are common in men, particularly with increasing age. Symptoms may include urinary frequency, urgency, nocturia, weak stream, or incomplete bladder emptying.
These symptoms are often related to conditions such as benign prostatic enlargement, but may also have other causes that require assessment.
At Newcastle Men’s Health Clinic, we provide a structured LUTS assessment service, combining GP-led evaluation with access to specialist urology where required.
Clinical Signs LUTS Assessment May Be Appropriate
Assessment may be helpful if you experience:
- Increased Urinary Frequency
Needing to pass urine more often than usual. - Nocturia
Waking at night to urinate. - Weak Urinary Stream
Reduced flow or difficulty initiating urination. - Urgency or Urge Incontinence
A sudden need to pass urine that is difficult to control. - Incomplete Bladder Emptying
A sensation of not fully emptying the bladder. - Male Patients Over 50 with Urinary Symptoms
Symptoms associated with prostate enlargement become more common with age.
A structured assessment helps determine the underlying cause and appropriate management.
Evidence-Based Clinical Approach
Lower urinary tract symptoms should be assessed using a structured approach to identify underlying causes and guide management.
Assessment typically includes symptom evaluation, urinalysis, renal function testing, and, where appropriate, PSA testing and measurement of urinary flow and bladder emptying. Use of a bladder diary can also help assess urinary patterns.
This approach is consistent with recognised urological guidance, including recommendations from the European Association of Urology (EAU) and the British Association of Urological Surgeons (BAUS).
At Newcastle Men’s Health Clinic, GP-led assessment includes:
- PSA testing (where clinically appropriate)
- urine dipstick testing
- renal function blood tests (U&E)
- uroflowmetry (flow rate measurement)
- post-void residual (PVR) assessment
- bladder diary where appropriate
Where further investigation is required, patients can be referred to a consultant-led one-stop clinic, including cystoscopy where indicated.
Who We Help
We support men from Newcastle and the North East experiencing:
Mild to Moderate Urinary Symptoms:
Men seeking early assessment and management.
Symptoms Suggestive of Prostate Enlargement:
Urinary changes commonly associated with ageing.
Men Seeking Reassurance or Prostate Health Assessment:
Patients who would like structured evaluation of urinary symptoms.
Men Requiring Further Investigation:
Patients who may need specialist urological assessment.
Treatment Options
Treatment depends on the underlying cause and severity of symptoms.
Lifestyle and Conservative Management:
Advice on fluid intake, caffeine, and bladder habits.
Medical Treatment:
Medication may be prescribed where appropriate to improve urinary symptoms.
Monitoring and Follow-Up:
Regular review to assess symptom progression and treatment response.
Referral for Specialist Urological Assessment:
Where indicated, patients can be referred to a consultant-led service, including access to cystoscopy and further investigations.
When to seek urgent assessment:
Some urinary symptoms need urgent care, not a routine appointment. If you have blood in your urine, cannot pass urine at all, or have a fever with severe pain, contact your GP or NHS 111 promptly.
Our Clinical Team
For patients requiring further investigation, referral can be made to Miss Judith Dockray Consultant Urological Surgeon and Andrologist, who provides a one-stop assessment service including cystoscopy where appropriate.
Getting to Our Newcastle Clinic
Newcastle Men’s Health Clinic is located within Blaydon Primary Care Centre, Shibdon Road, Blaydon-on-Tyne (NE21 5NW), just minutes from the A1 and the Metrocentre.
Our clinic is easily accessible for patients travelling from Newcastle, Gateshead, Sunderland, Middlesbrough, Durham, and across the wider North East. Free onsite parking is available at the centre.
Pricing and Insurance
We maintain transparent pricing for our specialist medical consultations and urinary assessments.
-
One-stop LUTS Assessment - GP £360
(40 minutes)
-
One-Stop LUTS Assessment - Consultant: £975
(60 mins inc. cystoscopy)
-
Prescriptions
Private prescriptions can be issued during your consultation.
Please note: As a private, specialised clinic, we do not currently accept health insurance for these consultations.
Specialist LUTS Care vs Standard General Practice
Feature
Standard GP Appointment
Newcastle Men’s Health Clinic
Assessment
Brief symptom review
Structured LUTS assessment
Tests available
Limited in-consultation testing
PSA, urine dip, renal function, flow rate, post-void residual (PVR) and bladder diary
Risk assessment
General assessment
Focused evaluation of prostate and urinary function
Initial management
Medication or referral
Targeted treatment with clear escalation pathway
Specialist access
Referral via NHS pathway
Direct access to in-house consultant-led one-stop clinic where needed
Frequently Asked Questions
What causes lower urinary tract symptoms in men?
Lower urinary tract symptoms are commonly caused by benign prostatic enlargement, but may also be related to bladder function, infection, or other urological conditions.
Do I need a PSA test?
PSA testing may be recommended depending on your age, symptoms, and clinical assessment.
What tests are included in the assessment?
Assessment may include urine testing, blood tests, flow rate measurement, post-void residual (PVR) assessment, and a bladder diary.
Will I need a cystoscopy?
Not all patients require cystoscopy. This is usually arranged if further investigation is needed following initial assessment.
Can urinary symptoms be treated without surgery?
Yes. Many men are managed with lifestyle measures and medication. Surgery is only considered in selected cases.
Are urinary symptoms always caused by an enlarged prostate?
No. While prostate enlargement is common, symptoms can also be related to bladder function or other conditions, which is why assessment is important.
When should I seek assessment for urinary symptoms?
Assessment is recommended if symptoms are persistent, worsening, or affecting your quality of life.
Glossary of Terms
- LUTS: Lower Urinary Tract Symptoms, a collective term for storage and voiding issues.
- Nocturia: The need to wake up one or more times during the night to urinate.
- PSA: Prostate-Specific Antigen, a blood test marker for prostate health.
- BAUS: The British Association of Urological Surgeons.
