To explore the physiotherapy currently used for the relief of male lower urinary tract symptoms. The Delphi study used 14 experts from differing urology specialties in five countries. A survey consisting of four rounds of questions was sent to the experts. After each round the results were correlated and sent back to the experts to correct previous data and provide further information. After four rounds the multiple data produced were summarised. A new classification system for male urinary incontinence was generated. New subjective and objective assessment forms were developed. Treatment options and advice were generated for stress incontinence, urge incontinence, post micturition dribble, post-prostatectomy incontinence, and functional incontinence. Further randomised controlled trials are needed to add to this poorly researched specialty.