The European Association of Urology (EAU) male lower urinary tract symptoms (MLUTS) Guideline Panel has updated its evidence-based guidelines and recommendations 2026 for the management of MLUTS.
To present a summary of the 2026 MLUTS guideline updated with standardised methodology to provide reproducible evidence for the management of MLUTS.
For the 2026 EAU Guidelines on non-neurogenic male LUTS, evidence was identified through a structured review across Medline, EMBASE, and the Cochrane Library, prioritising systematic reviews with meta-analysis, randomised controlled trials and prospective comparative studies. Literature search was conducted from 1 May 2023 to 1 May 2025. A detailed search strategy is available at https://uroweb.org/guidelines/management-of-non-neurogenic-male-luts/publications-appendices.
Clinical practice recommendations were updated across all chapters of the male LUTS guideline based on a structured literature search. Included studies consisted predominantly of systematic reviews, randomised controlled trials, and prospective comparative studies. Updates addressed diagnostic evaluation, conservative and surgical management of benign prostatic obstruction, and for the first time, a dedicated section on voiding dysfunction in young men.
The 2026 MLUTS Guidelines have been updated by the multidisciplinary Panel of experts employing methodological standards to provide a contemporary evidence base for the management of MLUTS.
The European Association of Urology Male Lower Urinary Tract Symptoms Guidelines Panel has reviewed the available scientific evidence on non-neurogenic male lower urinary tract symptoms to develop international recommendations for the diagnosis and management of men with LUTS.
European urology. 2026 Apr 16 [Epub ahead of print]
Michael Baboudjian, Massimiliano Creta, Nikolaos Pyrgidis, Lisa Moris, Mesut Berkan Duran, Cosimo de Nunzio, Dean Elterman, Hashim Hashim, Thomas R W Herrmann, Markos Karavitakis, Sachin Malde, Christopher Netsch, Malte Rieken, Vasileios Sakalis, Manuela Tutolo, Natasha Schouten, Jean-Nicolas Cornu
Department of Urology, North Academic Hospital, AP-HM, Marseille, France., Department of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples Federico II, Naples, Italy., Department of Urology, University Hospital Munich, Munich, Germany., Department of Urology, University Hospitals Leuven, Leuven, Belgium; Laboratory of Molecular Endocrinology, KU Leuven, Leuven, Belgium., Department of Urology, School of Medicine, Pamukkale University, Kınıklı, Türkiye., Department of Urology, Sapienza University, Ospedale Sant'Andrea, Rome, Italy., Division of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada., Bristol Urological Institute, Bristol, UK., Department of Urology, Spital Thurgau AG, Kantonsspital Frauenfeld, Switzerland; Division of Urology, Department of Surgical Sciences, Stellenbosch University, Western Cape, South Africa; Hannover Medical School, Hannover, Germany., 2nd Department of Urology, Lefkos Stavros - The Athens Clinic, Athens, Greece., Department of Urology, Guy's and St. Thomas' NHS Foundation Trust, London, UK., Department of Urology, Asklepios Klinik Barmbek, Hamburg, Germany., University of Basel, Basel, Switzerland., Department of Urology, Hippokrateion General Hospital, Thessaloniki, Greece; Innovative Surgical Urology Research Hub, Thessaloniki, Greece., Department of Urology, Urological Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy., European Association of Urology Guidelines Office, Arnhem, The Netherlands., Department of Urology, Hôpital Charles Nicolle, CHU Hôpitaux de Rouen, Rouen, France. Electronic address: .