Clinical Update
Interview: GP Dr Pipin Singh on lower urinary tract symptoms in men and their link to prostate enlargement, detrusor overactivity and other conditions
05 Nov 2025
Pat from MIMS Learning speaks to GP Dr Pipin Singh about diagnosis, management and referral in this episode of the Clinical Update podcast.Dr Pipin Singh presents a way through the diagnostic maze, emphasising the need to distinguish between acute and chronic presentations, and the importance of taking time to get to the bottom of chronic symptoms.His thorough discussion of this topic emphasises the importance of continuity of care in conducting examinations and investigations, the myriad of possible causes to consider, and how to approach lifestyle measures and prescribing medication. Educational objectivesAfter listening to this podcast, healthcare professionals should be better able to: Understand the prevalence and potential impact of lower urinary tract symptoms (LUTS)Take a history from patients presenting with LUTS, and conduct examinationsUndertake relevant investigations, using tools such as a bladder diary or the International Prostate Symptom ScoreRecall possible urological and non-urological causes including benign prostatic enlargement (BPE), detrusor overactivity, ‘ketamine bladder’, malignancy and acute infectionsRecommend lifestyle measures and initiate medication for BPE and other causesReview and follow up, referring to urology if appropriateYou can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.MIMS LearningSubscribe to MIMS LearningBenign prostatic hyperplasia: clinical reviewLower urinary tract symptoms in men - red flag symptomsLower urinary tract symptoms: a clue to underlying diseases Hosted on Acast. See acast.com/privacy for more information.
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