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Behavioral Interventions for Managing Lower Urinary Tract Symptoms in Men: A Literature Review from 2018 to 2024

Siobhan Aaron, Samantha DeSimio, Amy Y. Zhang*

Lower Urinary Tract Symptoms (LUTS) largely affect aging men, leading to significant healthcare burdens. Behavioral intervention to LUTS has been used widely in clinical settings, but its effectiveness has yet to be fully understood. This review study aimed to evaluate evidence regarding the effectiveness of behavioral interventions to LUTS in men between 2018 and 2024. A search of the literature was performed using MEDLINE, PubMed, and ClinicalTrials.gov databases, and six relevant studies that focused on self-management strategies with or without pharmacotherapy were identified and reviewed. The evidence shows that behavioral interventions such as symptom self-management through lifestyle modification exhibit promising results in alleviating LUTS severity and symptoms of voiding frequency, nocturia, and postmicturition dribble. However, existing evidence is quite limited, and this reduces confidence in the observed effectiveness of behavioral interventions. Future investigation is warranted and should prioritize methodological rigor such as manualized intervention protocol, unbiased study designs, larger sample sizes, and standardized outcome measures to strengthen the development, implementation, and evaluation of behavioral interventions to LUTS in men.