3-2-1: Clarity Beyond Symptoms in LUTS

I. Symptoms overlap and confuse
Urgency, frequency, dribble, and weak stream often arrive together. Chasing symptoms alone leads to dead ends.

II. Function tells the truth
Check four things first: fluid balance, storage capacity, voiding efficiency, continence control. Plan care from these, not from complaints.

III. Numbers give clarity
Bladder diaries reveal what words can’t. Urine output, nocturnal polyuria index, and maximum voided volume make complexity visible and guide decisions.

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I. Atul Gawande: “Better is possible. It does not take genius. It takes diligence. It takes moral clarity. It takes ingenuity. And above all, it takes a willingness to try.”
A reminder that structured tracking is diligence, not guesswork.

II. Florence Nightingale: “The ultimate goal is to manage change in a way that makes life better for patients.”
Clear measures allow us to act, not just observe.

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When a man presents with mixed LUTS, will you begin by checking his fluid balance, his bladder capacity, or his voiding efficiency and why?

With care,

Team IPC