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**Start of Template**
A/P
Patient has a history of BPH with LUTS
he reports hesitancy, frequency, nocturia, urgency, weak stream
He has been taking flomax without issue
Per the AAFP (grade b recommendation) the following lifestyle factors were discussed with the patient: limit evening fluid intake, reduce caffeine, reduce alcohol, sit to urinate, double voiding, pelvic floor exercises
AAFP Grade A recommendation to use 5 alpha reducatase inhibitors alongside flomax for best results
-Patient was counseled on side effects of flomax such as
—We discussed the possibility of retrograde ejaculation with flomax use
—We extensively discussed dizziness and orthostasis as a side effect of flomax, and patient instructed to stop taking flomax and RTC if these symptoms develop
-Continue {_} start flomax
-F/U in 6-12 months
-Can consider referral to urology for TURP if medical management is unsuccessful
-Consider finasteride in addition to flomax if desired results not achieved
HPI
Patient has history of enlarged prostate.
Current meds: {_}
Surgical Hx: {_}
**End of Template**