Recommendations listed below are essentially to support treatment for men with lower urinary tract symptoms (LUTS). For mild symptoms, lifestyle changes may already control symptoms.
General Measures
- Less sedentary behavior and more physical activity may potentially counteract lower urinary tract symptoms (LUTS).
- In patients with LUTS, the sitting position during micturition (urination) has a positive effect on the maximum urinary flow rate (Qmax), voiding time (TQ), and post void residual (PVR).
- “Stroking” the urethra after micturition to prevent post void dribbling.
- Nicotine restriction (abstaining from tobacco use).
- Limited alcohol consumption (max. 25 g alcohol per day).
- Avoid or reduce the consumption of caffeinated beverages to minimize their diuretic (“dehydrating”) effect.
- Review of permanent medication due topossible effect on the existing disease. Here, in particular, review for miktionsassoziierte side effects. If necessary, conversion as far as possible to alternative medicines.
- Treatment of constipation (constipation).
Regular checkups
- Controlled waiting – English “watchful waiting”: since the disease develops slowly, controlled waiting is appropriate in patients with only minor symptoms (International Prostate Symptom Score (IPSS) below 8).
- Regular, semi-annual checks; if the symptoms increase early re-presentation to the doctor.
Nutritional medicine
- Nutritional counseling based on nutritional analysis
- Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
- Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruits).
- Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
- High-fiber diet (whole grain products).
- Avoidance of hot spices
- Regulation of fluid intake (total amount about 1,500 ml / 24 hours); paying attention to an even distribution throughout the day; avoiding excessive fluid intake in the evening and before certain activities.Attention! However, a greatly reduced fluid restriction can lead to an increase in irritative bladder symptoms (“storage symptoms”).
- Selection of appropriate foods based on the nutritional analysis.
- See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
- Detailed information on nutritional medicine you will receive from us.
Sports Medicine
- Endurance Training
- Less sedentary activities and more physical activity can potentially counteract lower urinary tract symptoms (LUTS).
- Establish a fitness or training plan with appropriate sports disciplines based on a medical check (health check or athlete check).
- Detailed information on sports medicine you will receive from us.
Training
- Bladder training (urotraining):Bladder training is used to improve bladder control and increase the amount of urine the bladder can hold without urge or dribbling.The goal is to bring about a behavioral change in drinking habits and urination. The patient tries not to give in to the first urge to urinate and to delay the time until she has to go to the toilet until normal micturition behavior returns. It makes sense to combine this with pelvic floor training. The goal is a urinary bladder capacity of approx. 400 ml.Before starting the changeover, the micturition diary is first evaluated, in which the drinking quantities, micturition times and urine quantities are recorded.