From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.
In September 1997, at Medicine Grand Rounds, Dr Michael Barry discussed
the options for medical, surgical, and device therapies for patients with
benign prostatic hyperplasia (BPH). At that time, the patient, Mr B, a 73-year-old
man with symptomatic BPH, had predominant symptoms of frequency during the
day and exasperating nocturia, up to 6 times per night. He had tried both α-blockers
and finasteride without relief. Dr Barry recommended surgical treatment. However,
Mr B has procrastinated about having surgery because of his wife's illness.
Parker RA, Hartman EE. A 73-Year-Old Man With Symptomatic Benign Prostatic Hyperplasia, 1 Year Later. JAMA. 1998;280(12):1092. doi:10.1001/jama.280.12.1092