Inclusion Criteria:  men aged 50 years old and older attending the polyclinic for routine follow up of a chronic disease (non-communicable disease) have moderate-to-severe LUTS and/or poor quality of life (QOL) as assessed by the validated International Prostate Symptom Score (IPSS) of eight or more and/or its individual QOL score of three or more men of any local Asian ethnicity and were willing to provide written consent can communicate with their allocated PCP in either of the three main local languages; English, Mandarin or Malay.  Exclusion Criteria:  have indwelling catheters urinary incontinence requiring diapers anuria due to any renal pathology gross hematuria acute urinary retention symptoms consistent with an acute urinary tract infection existing treatment of LUTS or other prostate pathology visual or hearing impairment which render men incapable of understanding the study procedure and providing informed consent men unwilling to discuss their LUTS treatment options with their PCP