After your recommendations were implemented, Mr McCracken’s BP increased to 130/80 mm Hg, and the BPH and ED symptoms improved remarkably. Over the ensuing weeks, he continued to experience occasional urgency and hesitancy. After 6 months of watchful waiting, he opted for laser prostatectomy. This procedure was successful in alleviating his symptoms.
SELFSTUDY ASSIGNMENTS
1. Compare the efficacy of saw palmetto ( Serenoa repens ) to finasteride and α1 antagonists for the treatment of BPH.
2. Compare treatment options for ED in patients with BPH. Identify the risks and potential benefits of using α1antagonists and 5αreductase inhibitors in treating comorbid ED and BPH.
3. Identify the BPH patient subpopulation that would benefit most from finasteride/dutasteride therapy.
4. Perform a literature search for evidence that supports use of phosphodiesterase type 5 inhibitors and α1antagonists as combination therapy for BPH/ED.
5. Perform a literature search for the use of phosphodiesterase type 5 inhibitors as monotherapy for LUTS secondary to BPH.
