Specialist Urology · LUTS Clinic
LUTS Clinic London — Lower Urinary Tract Symptoms
Urgency, frequency, nocturia, poor flow, incomplete emptying — lower urinary tract symptoms affect quality of life significantly. Mr Torath Ameen FRCS offers expert urodynamic assessment and treatment-matched management.
What Are Lower Urinary Tract Symptoms
LUTS is an umbrella term for a range of urinary symptoms affecting either storage (urgency, frequency, nocturia, leakage) or voiding (poor flow, straining, hesitancy, incomplete emptying).
Often but not always due to BPH in men — other causes include overactive bladder, urethral stricture, bladder neck obstruction, previous surgery, neurological conditions and bladder cancer. The IPSS (International Prostate Symptom Score) questionnaire is used to quantify symptom severity and guide treatment decisions.
LUTS are not an inevitable part of ageing that should be accepted without treatment. Effective options exist at every symptom level — from lifestyle advice to minimally invasive procedures.
— Mr Torath Ameen, FRCS (Urol)What the Clinic Involves
Full history
Symptom duration, character, bother score, medications and prior treatments.
IPSS questionnaire
International Prostate Symptom Score and quality of life assessment to quantify bother.
Urinalysis and bladder diary
Dipstick test, MSU if infection suspected, and bladder diary review to distinguish storage from voiding LUTS.
Uroflowmetry and post-void residual
Non-invasive flow rate test and ultrasound to measure bladder emptying.
PSA and flexible cystoscopy
PSA measurement where appropriate; cystoscopy where urethral stricture or haematuria is present.
Treatment Options for LUTS
Mr Ameen matches treatment to the individual — anatomy, prostate volume, symptom severity, preferences and the need to preserve sexual function all factor into the decision.
Conservative & Medical
Lifestyle measures — fluid management, caffeine reduction, bladder retraining. Alpha-blockers (tamsulosin, alfuzosin, silodosin) relax the prostate and bladder neck. 5-alpha-reductase inhibitors (finasteride, dutasteride) reduce prostate size over 6–12 months. Combination therapy for large prostates.
Antimuscarinics and beta-3 agonists (mirabegron) for overactive bladder. Desmopressin for nocturia. Urethral dilatation or urethroplasty for stricture disease.
Minimally Invasive & Surgical
Aquablation — robotically-guided waterjet ablation, suitable for prostates 30–150cc. Rezūm — steam therapy, suitable for prostates up to approximately 80cc. UroLift — mechanical lift of lateral lobes, no tissue removal, preserves ejaculatory function.
TURP — gold standard endoscopic surgical option. HoLEP — laser enucleation, excellent results for large prostates. Mr Ameen performs all of these procedures.
Matching Treatment to Your Symptoms
Mild to Moderate LUTS
Conservative management and a trial of medical therapy is almost always appropriate before considering procedures. Many men achieve excellent symptom control with the right combination of lifestyle changes and medication.
Moderate to Severe LUTS / BPH
When medication is insufficient or not tolerated, or when the patient prefers to avoid long-term tablets, minimally invasive options (Aquablation, Rezūm, UroLift) offer durable relief without major surgery. Mr Ameen performs all of these procedures.
Complications of Untreated LUTS
Untreated BPH/LUTS can lead to urinary retention (an emergency), recurrent UTIs, bladder stone formation and impaired renal function over time. Early assessment and treatment prevents these complications.
LUTS Clinic FAQs
Living with urinary symptoms? You don't have to.
Effective treatment exists for all grades of LUTS. Mr Ameen offers expert assessment and treatment across his London clinics.