What is the typical approach to managing benign prostatic hyperplasia?

The typical approach to managing benign prostatic hyperplasia (BPH) begins with observation and lifestyle changes, and medications if necessary. This is because BPH is a common condition, particularly in older men, and many patients may have mild symptoms that do not require invasive treatment.

Lifestyle changes can include reducing fluid intake before bedtime, avoiding caffeine and alcohol, and practicing double voiding techniques. These initial strategies aim to alleviate symptoms without the need for medication or surgery. When symptoms become bothersome or impact quality of life, medications such as alpha-blockers or 5-alpha reductase inhibitors can be prescribed to help manage the condition effectively.

Surgical options are generally reserved for patients who have moderate to severe symptoms that do not respond to medication or conservative management, rather than being the first line of treatment for all patients. Hence, a balanced approach prioritizing observation, lifestyle modifications, and medication aligns with current clinical guidelines in managing BPH, making it the correct response.