RecommendationAt initial assessment, ask men with bothersome LUTS to complete a urinary frequency volume chart.
RecommendationAt specialist assessment, ask men with LUTS to complete a urinary frequency volume chart.
Relative values of different outcomesThe GDG considered that an improvement in symptoms was the most important outcome.
Trade off between clinical benefits and harmsThe GDG felt that this test is important to build on information obtained from the medical history. This test has no side effects or harms associated with it but is time consuming for the patients, so whether this chart is accurately completed will depend on how bothersome the symptoms are to the patient. This chart will help the clinician to make an accurate diagnosis of the underlying cause of the symptoms.
Economic considerationsThere are no costs to the healthcare system associated with completing a frequency volume chart whilst this test adds important information for the diagnosis and subsequent treatment.
Quality of evidenceNo clinical or economic studies were found and these recommendations were based on the consensus opinion of the GDG.
Other considerationsPatient preference will play a role in whether the men are bothered enough by their symptoms to complete this test at primary care.

Learning difficulties, dyslexia, blindness and language barriers were equality issues of concern to the GDG that may affect men's ability to complete a frequency volume chart. Likewise, men who have either physical or cognitive impairment may need assistance in the completion of a chart. It is important for a carer to be instructed in helping complete the voiding diary if possible.

From: 4, Diagnosis

Cover of The Management of Lower Urinary Tract Symptoms in Men
The Management of Lower Urinary Tract Symptoms in Men [Internet].
NICE Clinical Guidelines, No. 97.
National Clinical Guideline Centre (UK).
Copyright © 2010, National Clinical Guideline Centre.

Apart from any fair dealing for the purposes of research or private study, criticism or review, as permitted under the Copyright, Designs and Patents Act, 1988, no part of this publication may be reproduced, stored or transmitted in any form or by any means, without the prior written permission of the publisher or, in the case of reprographic reproduction, in accordance with the terms of licences issued by the Copyright Licensing Agency in the UK. Enquiries concerning reproduction outside the terms stated here should be sent to the publisher at the UK address printed on this page.

The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore for general use.

The rights of the National Clinical Guideline Centre to be identified as Author of this work have been asserted by them in accordance with the Copyright, Designs and Patents Act, 1988.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.