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Non-Interventional and Medical Management of Lower Urinary Tract Symptoms Related to Benign Prostatic Hyperplasia in Men: Guidelines of the French LUTS Committee (CTMH) - Beyond the Abstract

This year, the French LUTS Committee (CTMH) of the French Association of Urology (AFU) published national guidelines on the non-interventional management of BPH.

Developed from a comprehensive literature review and expert consensus, this document is fully dedicated to conservative and medical management.

While surgical innovations are thriving, it is essential to remember that first-line management of BPH remains non-interventional. These practical guidelines emphasize that watchful-waiting is appropriate for men with non-bothersome LUTS, and that lifestyle and dietary advice should be offered to all men presenting with LUTS!

For patients with bothersome symptoms, alpha-blockers remain the cornerstone of initial therapy, while 5ARI, antimuscarinics, and beta-agonists should be offered, if necessary, in second-line treatment. These guidelines also review all medical options, including IPDE5, phytotherapy, and all associations available.

The aim of this work is to provide a clear, up-to-date reference for current and daily practice.


Written by: Julien Anract,1 Clément Klein,2 Clément Sarrazin,3 Ugo Pinar,4 Armand Chevrot,5 Hakim Fassi-Fehri,6 Jonas Wilisch,7 Jérôme Gas,8 Yohann Rouscoff,9 Emmanuel Della Negra,10 Steeve Doizi,11 Souhil Lebdai,12 

  1. Urology Department, Hôpital Cochin, Paris, France.
  2. Urology Department, CHU de Bordeaux, Bordeaux, France.
  3. Urology Department, Pitié-Salpêtrière, Paris, France.
  4. Urology Department, CHU de Grenoble, Grenoble, France.
  5. Urology Department, Clinique Rhône Durance, Avignon, France.
  6. Urology Department, Hospice Civils de Lyon, Lyon, France.
  7. Urology Department, Hôpital Privé Natecia, Lyon, France.
  8. Urology Department, Clinique du Pont de Chaumes, Montauban, France.
  9. Urology Department, Polyclinique Saint-Georges, Nice, France.
  10. Urology Department, Hôpital des Côtes d'Armor, Saint-Brieuc, France.
  11. Urology Department, Hôpital Tenon, Paris, France.
  12. Urology Department, CHU d'Angers, Angers, France.
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