Family Nurse Practitioner Exam

Which statement about benign prostatic hypertrophy is false?

1. It is seen in up to 50% of males older than 50

2. Dribbling and nocturia are common patient complaints

3. Saw palmetto is always effective in reducing symptoms

4. The PSA value is usually slightly elevated

The correct answer is: Saw palmetto is always effective in reducing symptoms

The statement regarding saw palmetto being "always effective in reducing symptoms" is incorrect. While saw palmetto is a popular herbal supplement often used by men seeking relief from the symptoms of benign prostatic hypertrophy (BPH), research has shown that its efficacy is variable. Some studies suggest that it may provide modest improvement in urinary symptoms for some patients, but it does not work for everyone. Therefore, it cannot be considered universally effective, which makes this statement false. In contrast, the other statements are accurate reflections of the condition. Benign prostatic hypertrophy is indeed seen in a significant percentage of men as they age, up to 50% of males older than 50. Common symptoms of BPH include dribbling, which refers to involuntary leakage after urination, and nocturia, which is the need to wake up at night to urinate. Additionally, prostate-specific antigen (PSA) levels may be slightly elevated in men with BPH, although this does not necessarily indicate the presence of prostate cancer. This nuanced understanding of BPH symptoms and characteristics highlights the importance of careful evaluation and management of the condition.