Symptom score improvement observed with medical therapy based on American Urological Association benign prostatic hyperplasia guidelines6; range of improvement from 3 to 7 points (A). (B) Relationship between baseline symptom score and improvement in score after therapy. The lines indicate the average reduction in score required for patients to experience poor, fair, good, and very good improvement in their symptoms by global assessment.35 The graph suggests that all forms of medical therapy achieve a fair rating often, a good rating infrequently, and a very good rating rarely, based on the average improvement shown in (A).