Management of Obstructive Benign Prostatic Hyperplasia With a >200 mL Gland.

Abstract

A 78-year-old man presented with longstanding and progressive lower urinary tract symptoms (LUTS). Predominant symptoms were decreased flow, sensation of incomplete emptying, and nocturia x1-3. The patient’s LUTS progressed despite his being on a high-dose alphablocker and a 5-alpha reductase inhibitor. He had one episode of acute urinary retention and one urinary tract infection in the past 6 months. His American Urological Association Symptom Score (AUASS) was 24.