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Michael J. Barry, MD

JAMA. 1997;278(24):2178-2184.

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

Dr Parker:

Mr B is a 73-year-old man who has had "prostate trouble" for several years. A former government employee, he lives in a suburb of Boston with his wife and daughter, and is covered by Medicare. He sees Dr N at a primary care practice at the Beth Israel Deaconess Medical Center.

On a routine physical examination in 1993, he was noted to have a "firm" large prostate with a possible right prostatic nodule. At that time, he had no urinary symptoms. A prostate-specific antigen (PSA) level was 1.4 ng/mL. By the time of his urologic evaluation in early 1994, Mr B was complaining of nocturia every hour. Six biopsy specimens of the prostate were negative for malignancy, and the results of an ultrasound of the prostate were normal. Postbiopsy prostatitis was treated with a 6-week course of ciprofloxacin. Doxazosin (1 mg at bed-time) was prescribed to help alleviate . . . [Full Text PDF of this Article]

Author Affiliations
Discussant

Dr Barry is Chief, General Medicine Unit; Assistant Chief of Medicine-Residency Training; and Director, Health Services Research Program, Massachusetts General Hospital, Boston.

Footnotes
This conference took place at the Medicine Grand Rounds of the Beth Israel Deaconess Medical Center, East Campus, on September 25, 1997.

Reprints: Erin E. Hartman, MS, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, East Campus, 330 Brookline Ave, LY318, Boston, MA 02215.

Clinical Crossroads at Beth Israel Deaconess Medical Center is produced and edited by Thomas L. Delbanco, MD, Jennifer Daley, MD, and Richard A. Parker, MD; Erin E. Hartman, MS, is managing editor. Clinical Crossroads section editor: Margaret A. Winker, MD, Senior Editor, JAMA. We welcome Dr Parker to the editorial team.

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RELATED LETTER

Clinical Crossroads: A 73-Year-Old Man With Symptomatic Benign Prostatic Hyperplasia
Toby C. Chai and Michael J. Barry
JAMA. 1998;279(14):1070.
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