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Richard A. Parker, MD; Erin E. Hartman, MS

JAMA. 1998;280:1092.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

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 -blockers and finasteride without relief. Dr Barry recommended surgical treatment. However, Mr B has procrastinated about having surgery because of his wife's illness.

MR B, THE PATIENT

I continue to have frequent and aggravating nighttime urination, up to 8 times per night. I know I need to have this operation and I am planning to have it done soon.

DR N, THE PRIMARY PHYSICIAN

Mr B is still plagued by the same symptoms. His urologist notes significant outflow obstruction and feels he would definitely benefit from a transurethral resection of the . . . [Full Text of this Article]

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