This guideline covers managing lower urinary tract symptoms (LUTS) in men over 18. It aims to improve the quality of life for men with LUTS by recommending which assessments they should receive, and when conservative management, drug treatment and surgery can help.

In June 2015, we reviewed the evidence for phosophodiesterase-5 inhibitors, and added recommendation 1.4.10 on when to use them. We also added research recommendation 2.5 on the clinical and cost effectiveness of phosophodiesterase-5 inhibitors in men who do not have erectile dysfunction.


This guideline includes recommendations on:

Who is it for?

  • Healthcare professionals
  • Commissioners and providers
  • Men with lower urinary tract symptoms and their families or carers

Guideline development process

How we develop NICE guidelines

Next review: 2018

This guideline updates and replaces IPG15 (February 2003), IPG120 (February 2003), IPG224 (July 2007) and IPG256 (March 2008).

This guideline was previously called lower urinary tract symptoms: the management of lower urinary tract symptoms in men.

Your responsibility

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.

Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.

Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

  • National Institute for Health and Care Excellence (NICE)