Quality standard
Quality statement 8: Surgery for voiding symptoms
Quality statement 8: Surgery for voiding symptoms
Quality statement
Men with voiding symptoms are offered surgery only if voiding symptoms are severe or if drug treatment and conservative management have been unsuccessful or are not appropriate.
Rationale
This quality statement aims to ensure the appropriate offer of surgery to men with voiding symptoms.
For some men with voiding symptoms, surgery can improve symptoms. But it should be offered only to men with severe symptoms or to men in whom drug treatment and conservative management have not worked. Men with mild or moderate symptoms should try other treatments before surgery. Men with severe symptoms are still eligible for drug treatment and conservative management.
Quality measures
Structure
Evidence of local arrangements to ensure that men with voiding symptoms are offered surgery only if voiding symptoms are severe or if drug treatment and conservative management have been unsuccessful or are not appropriate.
Data source: Local data collection.
Process
Proportion of men with voiding symptoms offered surgery whose symptoms are severe or in whom drug treatment and conservative management have been unsuccessful or are not appropriate.
Numerator – the number of men in the denominator who are offered surgery.
Denominator – the number of men with voiding symptoms whose symptoms are severe or in whom drug treatment and conservative management have been unsuccessful or are not appropriate.
Data source: Local data collection.
What the quality statement means for different audiences
Service providers ensure that local arrangements are in place to offer surgery to men with voiding symptoms only if voiding symptoms are severe or if drug treatment and conservative management have been unsuccessful or are not appropriate.
Healthcare professionals offer surgery to men with voiding symptoms only if voiding symptoms are severe or if drug treatment and conservative management have been unsuccessful or are not appropriate.
Commissioners ensure that they commission services with local arrangements to offer surgery to men with voiding symptoms only if voiding symptoms are severe or if drug treatment and conservative management have been unsuccessful or are not appropriate.
Men with voiding symptoms (problems passing urine) are offered an operation only if voiding symptoms are severe or if drug treatment and other management options have been unsuccessful or are not appropriate.
Source guidance
Lower urinary tract symptoms in men: management. NICE guideline CG97 (2010), recommendation 1.5.1
Definitions of terms used in this quality statement
Voiding symptoms
Voiding symptoms include weak or intermittent urinary stream, straining, hesitancy, terminal dribbling and incomplete emptying. The International Prostate Symptom Score (IPSS) categorises levels of severity. A score of 20 to 35 is for severe symptoms. A score of 8 to 19 is for moderate symptoms and a score of 0 to 8 is for mild symptoms.