Which of the follow statements made by a patient with benign prostatic hyperplasia indicates that he needs more instruction about active surveillance treatment?
A) "I need to get a digital rectal exam every year."
B) "I should not take tranquilizers."
C) "I should drink plenty of fluids in the evening."
D) "I should avoid over-the-counter decongestants."
C) "I should drink plenty of fluids in the evening."
Explanation: A) The least invasive treatment for BPH is watchful waiting, or active surveillance. This approach is used for patients who have minimal symptoms and minimal enlargement of the prostate. Patients who opt for watchful waiting receive yearly examinations with evaluation using DRE.
B) During this period of active surveillance, the patient should avoid tranquilizers and over-the-counter medications that contain decongestants, as these medications can worsen obstructive symptoms.
C) During this period of active surveillance, the patient should avoid excess fluids in the evening to decrease the chances of nocturia.
D) During this period of active surveillance, the patient should avoid tranquilizers and over-the-counter medications that contain decongestants, as these medications can worsen obstructive symptoms.
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