A 60-year-old man visits his primary care physician reporting a 45-degree lateral curvature of his penis during erections, which began 8 months ago. He initially experienced mild pain that has since resolved, but the curvature persists and occasionally interferes with sexual activity. He has a history of hypertension and smoking but no recent trauma. Examination reveals a hard, palpable plaque on the left lateral penile shaft. Question:What is the most appropriate initial management for this patient’s condition?

A 68-year-old man presents to the clinic with progressive urinary hesitancy, weak stream, and nocturia over the past year. He denies dysuria, hematuria, or fever. Digital rectal examination reveals a smooth, symmetrically enlarged prostate without nodules. Post-void residual volume is mildly elevated. The patient is diagnosed with benign prostatic hyperplasia (BPH) and would like to start medical treatment. Which of the following is the preferred initial pharmacotherapy for most patients with symptomatic BPH?