Questions for BPH |  RealOne Player |  Windows Player |
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| 1. | Are there contraindications for the use of 5-alpha reductase inhibitors along with alpha-blockers? |  |  |
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| 2. | At what stage of BPH do you recommend beginning combination therapy for BPH patients? |  |  |
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| 3. | What do you recommend for BPH patients who have titrated up to 8mg of Doxazosin but still have not seen a reduction in prostate size or slow down of increase of prostate size? |  |  |
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| 4. | Many patients are on saw palmetto. Should we switch these patients to drug therapy and who should be switched and how long should we keep these patients on drugs? What about their referral to an urologist? |  |  |
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| 5. | At what stage should I prescribe finasteride for BPH? |  |  |
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| 6. | Which patients should we give alpha-blocker and finasteride combinations? |  |  |
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| 7. | What factors should I consider when choosing an alpha-blocker? Is it just a matter of trail and error to see which one works better with the specific patient? |  |  |
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| 8. | When do you recommend starting drug therapy for BPH and what therapies do you recommend starting with first? And do you recommend titrating the regiment? And at what point to you recommend surgical or non-invasive treatment? |  |  |
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| 9. | Should we be screening for symptoms of BPH early than the age of 40? |  |  |
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| 10. | Should combination therapy be started in patients with minimal symptoms to prevent progression of disease? |  |  |
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| 11. | Can patients on alpha-blockers be treated for their erectile dysfunction with sildenafil, Viagra or Lavetra? |  |  |
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| 12. | What is the correlation between BPH and prostate cancer and should we consider a specific patient population for preventative therapy of BPH and cancer with finasteride and alpha-blockers? |  |  |
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| 13. | How long should a trial of medical therapy be before a patient can be labeled a responder or non-responder? What criteria are used to gauge response? |  |  |
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| 14. | Treatment with Flomax was not mentioned? Do you use this drug? |  |  |
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| 15. | Do you use combination medical therapy as a first option in treating men with BPH, that is, before monotherapy? And how do you decide who gets combination therapy? |  |  |
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| 16. | Is there a relationship between prostatic hypertrophy and frequency of sexual activity? |  |  |