Mild sx: Bladder training and surveillance Mod sx: bothersome Tamulosin 0.4 mg/d in am. ( alpha blocker) SE: fatigue, dizzy with postural hypotension, edema, headache. Tadalafil ( phosphodiesterase inhibitor) if have ED SE: headache, dizzy, flushing, dyspepsia Obstruction with elevated PSA > 1.5 treat with Finasteride 5 mg/d ( decrease prostate size by 50%. Works better combined with tamulosin. SE: ED, low libido, gynecomastia and increase risk of prostate cancer.