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Clinical Crossroads
September 23/30, 1998

A 73-Year-Old Man With Symptomatic Benign Prostatic Hyperplasia, 1 Year Later

Author Affiliations

From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.

JAMA. 1998;280(12):1092. doi:10.1001/jama.280.12.1092

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.

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