{"id":14031,"date":"2023-11-10T10:04:25","date_gmt":"2023-11-10T10:04:25","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?p=14031"},"modified":"2023-11-10T10:04:27","modified_gmt":"2023-11-10T10:04:27","slug":"llr-lower-urinary-tract-symptoms-luts","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ur\/llr-lower-urinary-tract-symptoms-luts\/","title":{"rendered":"LLR \u0644\u0648\u0626\u0631 \u067e\u06cc\u0634\u0627\u0628 \u06a9\u06cc \u0646\u0627\u0644\u06cc \u06a9\u06cc \u0639\u0644\u0627\u0645\u0627\u062a (LUTS)"},"content":{"rendered":"

\u0642\u0633\u0645<\/strong><\/p>\n\n\n\n

\u062d\u062f \u06a9\u0627 \u0645\u0639\u06cc\u0627\u0631<\/p>\n\n\n\n

\u0646\u0686\u0644\u06d2 \u067e\u06cc\u0634\u0627\u0628 \u06a9\u06cc \u0646\u0627\u0644\u06cc \u06a9\u06cc \u0639\u0644\u0627\u0645\u0627\u062a (LUTS) \u06a9\u0644\u06cc\u0646\u06cc\u06a9\u0644 \u06a9\u06d2 \u0627\u06cc\u06a9 \u06af\u0631\u0648\u067e \u06a9\u0627 \u062d\u0648\u0627\u0644\u06c1 \u062f\u06cc\u062a\u06d2 \u06c1\u06cc\u06ba\u06d4 \u0639\u0644\u0627\u0645\u0627\u062a<\/a> \u0634\u0627\u0645\u0644 \u0645\u062b\u0627\u0646\u06c1<\/a>, \u067e\u06cc\u0634\u0627\u0628 \u06a9\u06cc \u0646\u0627\u0644\u06cc<\/a>, \u067e\u06cc\u0634\u0627\u0628 \u06a9\u06cc \u0646\u0627\u0644\u06cc<\/a>\u060c \u0627\u0648\u0631\u060c \u0645\u0631\u062f\u0648\u06ba \u0645\u06cc\u06ba\u060c \u067e\u0631\u0648\u0633\u0679\u06cc\u0679<\/a>. <\/p>\n\n\n\n

LUTS \u0627\u06cc\u06a9 \u0639\u0627\u0645 \u0645\u0633\u0626\u0644\u06c1 \u06c1\u06d2\u06d4 \u067e\u0627\u062a\u06be \u0648\u06d2 \u0627\u0633 \u0642\u0627\u0628\u0644 \u0628\u0646\u0627\u062a\u0627 \u06c1\u06d2 \u06a9\u06c1 \u067e\u0631\u0627\u0626\u0645\u0631\u06cc \u06a9\u06cc\u0626\u0631 \u0645\u06cc\u06ba \u0645\u0637\u0644\u0648\u0628\u06c1 \u0645\u06a9\u0645\u0644 \u062a\u062d\u0642\u06cc\u0642\u0627\u062a \u06a9\u06cc \u062c\u0627\u0626\u06cc\u06ba \u062a\u0627\u06a9\u06c1 \u0627\u0633 \u0628\u0627\u062a \u06a9\u0648 \u06cc\u0642\u06cc\u0646\u06cc \u0628\u0646\u0627\u06cc\u0627 \u062c\u0627 \u0633\u06a9\u06d2 \u06a9\u06c1 \u062c\u0646 \u0644\u0648\u06af\u0648\u06ba \u06a9\u0648 \u06c1\u0633\u067e\u062a\u0627\u0644 \u06a9\u06cc \u062c\u0627\u0646\u0686 \u06a9\u06cc \u0636\u0631\u0648\u0631\u062a \u06c1\u06d2 \u0627\u0646\u06c1\u06cc\u06ba \u062c\u0644\u062f\u06cc \u0633\u06d2 \u062f\u06cc\u06a9\u06be\u0627 \u062c\u0627\u062a\u0627 \u06c1\u06d2\u060c \u0627\u0686\u06be\u06cc \u0637\u0631\u062d \u0633\u06d2 \u0686\u06be\u0627\u0646 \u0628\u06cc\u0646 \u06a9\u06cc \u062c\u0627\u062a\u06cc \u06c1\u06d2 \u0627\u0648\u0631 \u067e\u06be\u0631\u060c \u062c\u06c1\u0627\u06ba \u0628\u06be\u06cc \u0645\u0645\u06a9\u0646 \u06c1\u0648\u060c \u067e\u0631\u0627\u0626\u0645\u0631\u06cc \u06a9\u06cc\u0626\u0631 \u06a9\u0648 \u0648\u0627\u067e\u0633 \u0645\u0646\u062a\u0642\u0644 \u06a9\u06cc\u0627 \u062c\u0627\u062a\u0627 \u06c1\u06d2\u060c \u062c\u06c1\u0627\u06ba LUTS \u06a9\u06cc \u0627\u06a9\u062b\u0631\u06cc\u062a \u06a9\u0627 \u0628\u062d\u0641\u0627\u0638\u062a \u0627\u0646\u062a\u0638\u0627\u0645 \u06a9\u06cc\u0627 \u062c\u0627 \u0633\u06a9\u062a\u0627 \u06c1\u06d2\u06d4<\/p>\n\n\n\n

\u0627\u06c1\u0644\u06cc\u062a<\/strong><\/p>\n\n\n\n

LLR ICB \u0646\u0686\u0644\u06d2 \u067e\u06cc\u0634\u0627\u0628 \u06a9\u06cc \u0646\u0627\u0644\u06cc \u06a9\u06cc \u0639\u0644\u0627\u0645\u0627\u062a \u06a9\u06d2 \u0644\u06cc\u06d2 \u062b\u0627\u0646\u0648\u06cc \u0646\u06af\u06c1\u062f\u0627\u0634\u062a \u06a9\u06d2 \u062d\u0648\u0627\u0644\u06d2 \u0633\u06d2 \u0641\u0646\u0688 \u06a9\u0631\u06d2 \u06af\u0627 \u0627\u06af\u0631 \u067e\u0631\u0627\u0626\u0645\u0631\u06cc \u06a9\u06cc\u0626\u0631 \u0645\u06cc\u06ba \u0645\u0646\u062f\u0631\u062c\u06c1 \u0630\u06cc\u0644 \u062a\u0634\u062e\u06cc\u0635 \u06a9\u06cc \u06af\u0626\u06cc \u06c1\u06d2\u06d4<\/strong>
\u00a0
\u0627\u06af\u0631 \u0645\u0631\u06cc\u0636\u0648\u06ba \u06a9\u06d2 \u067e\u0627\u0633 \u06c1\u06d2 \u062a\u0648 \u0627\u0646\u06c1\u06cc\u06ba 2 WW \u067e\u0627\u062a\u06be \u0648\u06d2 \u06a9\u06d2 \u0630\u0631\u06cc\u0639\u06d2 \u0631\u06cc\u0641\u0631 \u06a9\u0631\u0646\u06d2 \u06a9\u06cc \u0636\u0631\u0648\u0631\u062a \u06c1\u06d2\u06d4<\/strong>
- \u0628\u0691\u06be\u0627 \u06c1\u0648\u0627 \u0639\u0645\u0631 \u0633\u06d2 \u0645\u062a\u0639\u0644\u0642 PSA
- \u0627\u06cc\u06a9 \u0633\u062e\u062a \u0641\u0627\u0633\u062f \u067e\u0631\u0648\u0633\u0679\u06cc\u0679
- \u0627\u06c1\u0645 \u06c1\u06cc\u0645\u0627\u062a\u0648\u0631\u06cc\u0627
\u00a0
\u0627\u06cc\u06a9 \u06cc\u0627 \u0632\u06cc\u0627\u062f\u06c1 \u0639\u0644\u0627\u0645\u0627\u062a \u0648\u0627\u0644\u06d2 \u0645\u0631\u06cc\u0636:<\/strong>
- \u062a\u0639\u062f\u062f
- \u0646\u0648\u06a9\u0679\u0648\u0631\u06cc\u0627
- \u067e\u06cc\u0634\u0627\u0628 \u06a9\u0631\u0646\u06d2 \u0645\u06cc\u06ba \u062f\u0634\u0648\u0627\u0631\u06cc
- \u0688\u0631\u0627\u0626\u0628\u0644\u0646\u06af
\u00a0
\u0627\u0628\u062a\u062f\u0627\u0626\u06cc \u0645\u0634\u0627\u0648\u0631\u062a<\/strong>
\u062a\u0627\u0631\u06cc\u062e
- \u0637\u0628\u06cc\u060c \u062c\u0630\u0628\u0627\u062a\u06cc\u060c \u062c\u0633\u0645\u0627\u0646\u06cc\u060c \u0646\u0641\u0633\u06cc\u0627\u062a\u06cc\u060c \u062c\u0646\u0633\u06cc \u0627\u0648\u0631 \u0633\u0645\u0627\u062c\u06cc \u0645\u0633\u0627\u0626\u0644
- \u062a\u0645\u0627\u0645 \u0645\u0648\u062c\u0648\u062f\u06c1 \u0627\u062f\u0648\u06cc\u0627\u062a \u06a9\u0627 \u062c\u0627\u0626\u0632\u06c1 \u0644\u06cc\u06ba (\u0628\u0634\u0645\u0648\u0644 \u06a9\u0627\u0624\u0646\u0679\u0631 \u067e\u0631 \u0627\u0648\u0631 \u062c\u0691\u06cc \u0628\u0648\u0679\u06cc\u0648\u06ba \u06a9\u06cc \u062f\u0648\u0627\u0626\u06cc\u06ba)

\u0645\u062a\u0628\u0627\u062f\u0644 \u0627\u0645\u0631\u0627\u0636 \u06a9\u0627 \u0627\u062e\u0631\u0627\u062c
- U&E\/ eGFR \u0627\u06af\u0631 \u0622\u067e \u06a9\u0648 \u06af\u0631\u062f\u0648\u06ba \u06a9\u06cc \u062e\u0631\u0627\u0628\u06cc \u06a9\u0627 \u0634\u0628\u06c1 \u06c1\u06d2\u06d4
- \u0628\u0644\u0688 \u0634\u0648\u06af\u0631 \u06a9\u0627 \u0631\u0648\u0632\u06c1 \u0631\u06a9\u06be\u0646\u0627
- \u062e\u0648\u0646 \u06a9\u06cc \u0645\u06a9\u0645\u0644 \u06af\u0646\u062a\u06cc
- \u0688\u067e \u0627\u0633\u0679\u06a9 \u067e\u06cc\u0634\u0627\u0628 \u06a9\u0627 \u0679\u06cc\u0633\u0679
- IPSS \u0633\u06a9\u0648\u0631 (\u0645\u0631\u06cc\u0636 \u06a9\u0648 "\u06a9\u0648\u0627\u0644\u0679\u06cc \u0622\u0641 \u0644\u0627\u0626\u0641" \u0633\u06cc\u06a9\u0634\u0646 \u0645\u06a9\u0645\u0644 \u06a9\u0631\u0646\u0627 \u0686\u0627\u06c1\u06cc\u06d2)
- LUTS \u06a9\u06cc \u0642\u0633\u0645 \u0645\u06cc\u06ba \u0641\u0631\u0642 \u06a9\u0631\u0646\u06d2 \u06a9\u06d2 \u0644\u06cc\u06d2 \u0641\u0631\u06cc\u06a9\u0648\u0626\u06cc\u0646\u0633\u06cc \u0648\u0627\u0644\u06cc\u0648\u0645 \u0686\u06cc\u0626\u0631
- PSA \u0679\u06cc\u0633\u0679

PSA \u0679\u06cc\u0633\u0679 \u06a9\u06d2 \u0628\u0627\u0631\u06d2 \u0645\u06cc\u06ba \u0628\u0627\u062a \u0686\u06cc\u062a \u0627\u06af\u0631 \u0645\u0646\u0627\u0633\u0628 \u06c1\u0648 \u0627\u0648\u0631 \u06a9\u0627\u0645 \u06a9\u0631\u0646\u06d2 \u0633\u06d2 \u067e\u06c1\u0644\u06d2 \u0645\u0631\u06cc\u0636 \u0633\u06d2 \u0645\u06a9\u0645\u0644 \u0645\u0634\u0627\u0648\u0631\u062a \u06a9\u06cc \u062c\u0627\u0626\u06d2\u06d4 \u062b\u0627\u0628\u062a \u0634\u062f\u06c1 UTI \u06a9\u06d2 \u0639\u0644\u0627\u062c \u06a9\u06d2 \u0628\u0639\u062f \u06a9\u0645 \u0627\u0632 \u06a9\u0645 \u0627\u06cc\u06a9 \u0645\u0627\u06c1 \u06a9\u06d2 \u0644\u06cc\u06d2 PSA \u0679\u06cc\u0633\u0679 \u0645\u0644\u062a\u0648\u06cc \u06a9\u0631\u06cc\u06ba\u06d4

\u062f\u0648 \u06c1\u0641\u062a\u06d2 \u06a9\u0627 \u062c\u0627\u0626\u0632\u06c1<\/strong>
- \u062a\u062d\u0642\u06cc\u0642\u0627\u062a \u06a9\u0627 \u062c\u0627\u0626\u0632\u06c1 \u0644\u06cc\u06ba\u06d4
- \u0641\u0631\u06cc\u06a9\u0648\u0626\u0646\u0633\u06cc \u0648\u0627\u0644\u06cc\u0648\u0645 \u0686\u0627\u0631\u0679 \u06a9\u0627 \u062c\u0627\u0626\u0632\u06c1 \u0644\u06cc\u06ba\u06d4
\u00a0
\u0633\u0679\u0648\u0631\u06cc\u062c \u063a\u0627\u0644\u0628 LUTS<\/strong>
- \u0639\u0644\u0627\u0645\u0627\u062a
- \u062a\u0639\u062f\u062f
- \u0639\u062c\u0644\u062a
- \u063a\u0648\u0631 \u06a9\u0631\u06cc\u06ba
- \u0632\u06cc\u0631 \u0646\u06af\u0631\u0627\u0646\u06cc \u0645\u062b\u0627\u0646\u06d2 \u06a9\u06cc \u062a\u0631\u0628\u06cc\u062a
- \u0627\u06cc\u0646\u0679\u06cc\u06a9\u0648\u0644\u0646\u0631\u062c\u06a9 \u062f\u0648\u0627\u0626\u06cc\u06ba
- \u06a9\u0646\u0679\u06cc\u0646\u0645\u0646\u0679 \u0645\u0635\u0646\u0648\u0639\u0627\u062a \u062c\u06cc\u0633\u06d2 \u067e\u06cc\u0688 \u06cc\u0627 \u062c\u0645\u0639 \u06a9\u0631\u0646\u06d2 \u0648\u0627\u0644\u06d2 \u0622\u0644\u0627\u062a
- \u0628\u06cc\u0631\u0648\u0646\u06cc \u062c\u0645\u0639 \u06a9\u0631\u0646\u06d2 \u0648\u0627\u0644\u06d2 \u0622\u0644\u0627\u062a (\u0645\u06cc\u0627\u0646 \u06a9\u06d2 \u0622\u0644\u0627\u062a\u060c \u0632\u06cc\u0631 \u0646\u0627\u0641 \u062f\u0628\u0627\u0624 \u06a9\u06d2 \u067e\u06cc\u0634\u0627\u0628)
- \u0627\u0646\u062f\u0631\u0648\u0646 \u062e\u0627\u0646\u06c1 \u06a9\u06cc\u062a\u06be\u06cc\u0679\u0631\u0627\u0626\u0632\u06cc\u0634\u0646
- \u06a9\u0645\u06cc\u0648\u0646\u0679\u06cc \u06a9\u0646\u0679\u06cc\u0646\u0646\u0633 \u0679\u06cc\u0645 \u06a9\u0627 \u062d\u0648\u0627\u0644\u06c1
\u00a0
Voiding - \u063a\u0627\u0644\u0628 LUTS<\/strong>
\u0639\u0644\u0627\u0645\u0627\u062a
- \u06c1\u0686\u06a9\u0686\u0627\u06c1\u0679
- \u0646\u0627\u0642\u0635 \u0628\u06c1\u0627\u0624

\u063a\u0648\u0631 \u06a9\u06cc\u062c\u0626\u06d2
- \u0627\u0644\u0641\u0627 \u0628\u0644\u0627\u06a9\u0631
- 5-alpha reductase inhibitor +\/- \u0627\u0644\u0641\u0627 \u0628\u0644\u0627\u06a9\u0631 (3-6 \u0645\u0627\u06c1 \u0645\u06cc\u06ba \u062c\u0627\u0626\u0632\u06c1 \u0644\u06cc\u06ba) \u0627\u06af\u0631
- \u067e\u0631\u0648\u0633\u0679\u06cc\u0679>30 \u06af\u0631\u0627\u0645 (\u0628\u0691\u06be\u0627 \u06c1\u0648\u0627)
\u06cc\u0627<\/strong>
- PSA>1.4mg\/ml
\u00a0
\u0645\u0633\u0644\u0633\u0644 \u0633\u0679\u0648\u0631\u06cc\u062c \u0639\u0644\u0627\u0645\u0627\u062a \u06a9\u06d2 \u0644\u0626\u06d2<\/strong>
\u063a\u0648\u0631 \u06a9\u06cc\u062c\u0626\u06d2
- \u0627\u0644\u0641\u0627 \u0628\u0644\u0627\u06a9\u0631 + \u0627\u06cc\u0646\u0679\u06cc\u06a9\u0648\u0644\u0646\u0631\u062c\u06a9
- \u0648\u0642\u0641\u06d2 \u0648\u0642\u0641\u06d2 \u0633\u06d2 \u0645\u062b\u0627\u0646\u06d2 \u06a9\u06cc \u06a9\u06cc\u062a\u06be\u0631\u0627\u0626\u0632\u06cc\u0634\u0646
- \u062c\u06c1\u0627\u06ba \u0645\u0631\u06cc\u0636 \u06a9\u06cc\u062a\u06be\u06cc\u0679\u0631\u0627\u0626\u0632\u0688 \u067e\u06cc\u0634\u0627\u0628 \u06a9\u06cc \u067e\u06cc\u062f\u0627\u0648\u0627\u0631 \u06a9\u06cc \u0646\u06af\u0631\u0627\u0646\u06cc \u06a9\u06cc \u062c\u0627\u0646\u06cc \u0686\u0627\u06c1\u06cc\u06d2\u06d4
- \u0627\u06af\u0631 \u067e\u06cc\u0634\u0627\u0628 \u06a9\u06cc \u067e\u06cc\u062f\u0627\u0648\u0627\u0631> \u06cc\u0627 200 \u0645\u0644\u06cc \u0644\u06cc\u0679\u0631 \u0641\u06cc \u06af\u06be\u0646\u0679\u06c1 \u06a9\u06d2 \u0628\u0631\u0627\u0628\u0631 \u06c1\u06d2 \u062a\u0648 \u0645\u0631\u06cc\u0636 \u06a9\u0648 IV \u0641\u0644\u0648\u0688 \u0633\u067e\u0648\u0631\u0679 \u06a9\u06d2 \u0644\u06cc\u06d2 \u062f\u0627\u062e\u0644 \u06a9\u0631\u0646\u06d2 \u06a9\u06cc \u0636\u0631\u0648\u0631\u062a \u06c1\u0648\u06af\u06cc\u06d4
\u00a0
\u0627\u06cc\u0633\u06d2 \u0645\u0631\u06cc\u0636 \u06a9\u06d2 \u0644\u06cc\u06d2 \u062c\u0646 \u06a9\u06cc \u062f\u06cc\u06af\u0631 \u0628\u0646\u06cc\u0627\u062f\u06cc \u0648\u062c\u0648\u06c1\u0627\u062a \u06a9\u06cc \u0646\u0634\u0627\u0646\u062f\u06c1\u06cc \u06a9\u06cc \u06af\u0626\u06cc \u06c1\u06d2 \u06cc\u0639\u0646\u06cc \u0631\u06a9\u0627\u0648\u0679\u06cc \u06cc\u0648\u0631\u0648\u067e\u062a\u06be\u06cc<\/strong>
\u06cc\u0648\u0631\u0648\u0644\u0648\u062c\u06cc \u0633\u06d2 \u0631\u062c\u0648\u0639 \u06a9\u0631\u06cc\u06ba\u06d4
\u00a0
4-6 \u06c1\u0641\u062a\u06d2 \u0645\u06cc\u06ba \u062c\u0627\u0626\u0632\u06c1 \u0644\u06cc\u06ba\u06d4<\/strong>
- \u0639\u0644\u0627\u0645\u0627\u062a \u0645\u06cc\u06ba \u0628\u06c1\u062a\u0631\u06cc - \u0639\u0644\u0627\u062c \u062c\u0627\u0631\u06cc \u0631\u06a9\u06be\u06cc\u06ba
- \u0639\u0644\u0627\u0645\u0627\u062a \u0645\u06cc\u06ba \u06a9\u0648\u0626\u06cc \u0628\u06c1\u062a\u0631\u06cc \u0646\u06c1\u06cc\u06ba- \u0645\u0645\u06a9\u0646\u06c1 \u062c\u0631\u0627\u062d\u06cc \u06a9\u06d2 \u0627\u062e\u062a\u06cc\u0627\u0631\u0627\u062a \u0627\u0648\u0631 \u0633\u0631\u062c\u0631\u06cc \u0633\u06d2 \u0648\u0627\u0628\u0633\u062a\u06c1 \u062e\u0637\u0631\u0627\u062a \u067e\u0631 \u062a\u0628\u0627\u062f\u0644\u06c1 \u062e\u06cc\u0627\u0644 \u06a9\u0631\u06cc\u06ba\u06d4

\u0627\u06af\u0631 \u06cc\u0648\u0631\u0648\u0644\u0648\u062c\u06cc \u0633\u06d2 \u0631\u062c\u0648\u0639 \u06a9\u0631\u06cc\u06ba\u06d4
- \u0645\u0631\u06cc\u0636 \u0627\u062a\u0641\u0627\u0642 \u06a9\u0631\u062a\u0627 \u06c1\u06d2 \u0627\u0648\u0631 \u0633\u0631\u062c\u0631\u06cc \u06a9\u06d2 \u0644\u06cc\u06d2 \u062a\u0631\u062c\u06cc\u062d \u06a9\u0627 \u0627\u0638\u06c1\u0627\u0631 \u06a9\u0631\u062a\u0627 \u06c1\u06d2\u06d4
- \u067e\u0631\u06cc\u0634\u0627\u0646 \u06a9\u0646 LUTS \u062c\u0648 \u0642\u062f\u0627\u0645\u062a \u067e\u0633\u0646\u062f \u0627\u0646\u062a\u0638\u0627\u0645 \u06cc\u0627 \u0645\u0646\u0634\u06cc\u0627\u062a \u06a9\u0627 \u062c\u0648\u0627\u0628 \u0646\u06c1\u06cc\u06ba \u062f\u06cc\u062a\u06d2 \u06c1\u06cc\u06ba\u06d4
- \u0628\u0631\u0642\u0631\u0627\u0631 \u0631\u06a9\u06be\u0646\u0627 \u062c\u0627\u0631\u06cc \u06c1\u06d2\u06d4
- LUTS \u0645\u062a\u0648\u0627\u062a\u0631 \u06cc\u0627 \u0645\u0633\u062a\u0642\u0644 UTI \u0633\u06d2 \u067e\u06cc\u0686\u06cc\u062f\u06c1 \u06c1\u0648\u062a\u06d2 \u06c1\u06cc\u06ba\u06d4
<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n
ARP 67 \u062c\u0627\u0626\u0632\u06c1 \u06a9\u06cc \u062a\u0627\u0631\u06cc\u062e: 2026<\/td><\/tr><\/tbody><\/table><\/figure>","protected":false},"excerpt":{"rendered":"

Category Threshold Criteria Lower urinary tract symptoms (LUTS) refer to a group of clinical symptoms involving the bladder, urinary sphincter, urethra, and, in men, the prostate.  LUTS are a common problem. 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