C.S., a 62-year-old businessman, saw a urologist with complaints of decreased force of urine stream and ejaculation, hesitancy, and sensation of incomplete bladder emptying. He claimed he had taken prostate health herbal supplements without any real benefit for 2 years before making the appointment. He denied dysuria, hematuria, or flank pain. He has no history of UTI, epididymitis, prostatitis, renal disease, or renal calculi. Rectal examination revealed a 50-g prostate with slight firmness in the right prostatic lobe. Bladder ultrasound showed no intravesical lesions or prostate protrusion into the bladder base. C.S. was diagnosed with benign prostatic hyperplasia with bladder neck obstruction and was scheduled for a TURP.

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