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okay so today we are going to discuss the surgical management of the male Luts yesterday we discussed the medical management lets start with a scenario the time starts now 58-year-old gentleman with known benign prostrate refered by GP he he on tamsulosin and finate tablets for past 18 months and hes known to have prostrate size measuring 60 cc in the past with PSA of two he had complete evaluation when he was started on medical management his ipss was 20 quality of life was five and his flow rate showed a voed volume of 315 ml with uh maximum flow rate of 8 and a post word residue of 32 ml hes enjoying quite good satisfactory sexual life with his partner he is presenting to your clinic with um an ability to have adequate Improvement in the urine flow with the combination of tamsulosin and fastrite how will you proceed um can you hear me yeah I can yeah excellent um so I would see him in my clinic um and with all of that history available I would talk to him about um what hes looki
