TLDR  Finasteride effectively treats BPH but may increase sexual dysfunction risk.   
  The study evaluated the effect of finasteride on men with benign prostatic hyperplasia (BPH). Finasteride inhibits the enzyme 5a-reductase, which prevents the conversion of testosterone to dihydrotestosterone, the androgen responsible for prostatic growth and enlargement. The study found that men treated with 5 mg of finasteride per day had a significant decrease in urinary symptoms, an increase in urinary flow, and a decrease in prostatic volume, but at a slightly increased risk of sexual dysfunction. The study concluded that finasteride is an effective treatment for BPH.
           
           211 citations
,
  November 1990   in “The Journal of Steroid Biochemistry and Molecular Biology”    Finasteride effectively treats BPH, but needs more trials to understand potential.  
     
           147 citations
,
  April 1990   in “The Journal of Clinical Endocrinology and Metabolism”    Finasteride safely lowers DHT levels without affecting testosterone.  
    
   
        
               12 citations
,
  January 1998   in “Drug safety”    Finasteride helps reduce prostate size and symptoms in BPH but is less effective than terazosin and works best for larger prostates.  
     
           1040 citations
,
  October 1992   in “The New England Journal of Medicine”    Finasteride effectively treats BPH but may increase sexual dysfunction risk.  
     
           30 citations
,
  August 1992   in “The Journal of Clinical Endocrinology and Metabolism”    Finasteride doesn't affect hormone levels in normal men.  
     
           211 citations
,
  November 1990   in “The Journal of Steroid Biochemistry and Molecular Biology”    Finasteride effectively treats BPH, but needs more trials to understand potential.