title: Integrative review on the non-invasive management of lower urinary tract symptoms in men following treatments for pelvic malignancies.
abstract: OBJECTIVE
  To develop a non-invasive management strategy for men with lower urinary tract symptoms (LUTS) after treatment for pelvic cancer, that is suitable for use in a primary healthcare context.
  
  
  METHODS
  PubMed literature searches of LUTS management in this patient group were carried out, together with obtaining a consensus of management strategies from a panel of authors for the management of LUTS from across the UK.
  
  
  RESULTS
  Data from 41 articles were investigated and collated. Clinical experience was sought from authors where there was no clinical evidence. The findings discussed in this paper confirm that LUTS after the cancer treatment can significantly impair men's quality of life. While many men recover from LUTS spontaneously over time, a significant proportion require long-term management. Despite the prevalence of LUTS, there is a lack of consensus on best management. This article offers a comprehensive treatment algorithm to manage patients with LUTS following pelvic cancer treatment.
  
  
  CONCLUSIONS
  Based on published research literature and clinical experience, recommendations are proposed for the standardisation of management strategies employed for men with LUTS after the pelvic cancer treatment. In addition to implementing the algorithm, understanding the rationale for the type and timing of LUTS management strategies is crucial for clinicians and patients.
authors: School of Health Sciences, University of Surrey, Stag Hill, Guildford, UK.
authors: S
authors: S
authors: Faithfull
authors: School of Health Sciences, University of Surrey, Stag Hill, Guildford, UK.
authors: A
authors: A
authors: Lemanska
authors: Department of Urology, Hampshire Hospitals Foundation Trust, Basingstoke, Hampshire, UK.
authors: P
authors: P
authors: Aslet
authors: Sutton & Merton Community Services, The Royal Marsden NHS Foundation Trust, London, UK.
authors: N
authors: N
authors: Bhatt
authors: University College Hospital, London, UK.
authors: J
authors: J
authors: Coe
authors: King's College Hospital NHS Trust, London, UK.
authors: L
authors: L
authors: Drudge-Coates
authors: University College Hospital, London, UK.
authors: M
authors: M
authors: Feneley
authors: Mount Vernon Hospital, Northwood, Middlesex, UK.
authors: R
authors: R
authors: Glynn-Jones
authors: Faculty of Health & Human Sciences, Centre for Research in Primary & Community Care (CRIPACC), University of Hertfordshire, Hertfordshire, UK.
authors: M
authors: M
authors: Kirby
authors: The Royal Surrey County Hospital, Guildford, UK.
authors: S
authors: S
authors: Langley
authors: Lister Hospital, Stevenage, Hertfordshire, UK.
authors: T
authors: T
authors: McNicholas
authors: Oxford University Hospital, Oxford, UK.
authors: J
authors: J
authors: Newman
authors: School of Health and Social Care, Bournemouth University, Dorset, UK.
authors: C C
authors: CC
authors: Smith
authors: Guy's and St Thomas' NHS Foundation Trust, King's Health Partners, London, UK.
authors: A
authors: A
authors: Sahai
authors: Leeds Teaching Hospitals NHS Trust, Leeds, UK.
authors: E
authors: E
authors: Trueman
authors: University College Hospital, London, UK.
authors: H
authors: H
authors: Payne
mesh_terms: D000465:Algorithms; D019468:Disease Management; D006801:Humans; D059411:Lower Urinary Tract Symptoms / Q000209:etiology* / Q000628:therapy*; D010386:Pelvic Neoplasms / Q000150:complications* / Q000628:therapy