In men with LUTS I would recommend the following prior to referral.
- If LUTS seem obstructive ie related primarily to flow (reduced flow, terminal dribbling, incomplete emptying) I would suggest commencing them on an alpha blocker. They should have MSU, PSA and ultrasound with post void residual volume prior to referral
- LUTS related to storage problems (frequency, urgency, nocturia) should have MSU, PSA, ultrasound with post void residual volume AND time volume chart.