Upon completion of the chapter the reader will be able to

1. Explain the pathophysiologic mechanisms underlying the symptoms and signs of benign prostatic hyperplasia (BPH).

2. Recognize the symptoms and signs of BPH in individual patients.

3. List the desired treatment outcomes for a patient with BPH.

4. Identify factors that guide selection of a particular a-adrenergic antagonist for an individual patient.

5. Compare and contrast a-adrenergic antagonists versus 5a-reductase inhibitors in terms of mechanism of action, treatment outcomes, adverse effects, and interactions when used for management of BPH.

6. Describe the indications for combination drug treatment of BPH.

7. Describe the indications for surgical intervention of BPH.

8. Formulate a monitoring plan for a patient on a given drug treatment regimen based on patient specific information.

9. Formulate appropriate counseling information for patients receiving drug treatment for BPH.

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