Question

A 68-year-old man with bothersome lower urinary tract symptoms (LUTS) and an enlarged prostate on digital rectal examination (DRE) seeks medical therapy. What initial approach is reasonable?

Accepted Answer

Start combination alpha-blocker plus 5-alpha-reductase inhibitor for enlarged prostate

Answer

Anticholinergic alone

Answer

PDE-5 inhibitor monotherapy only

Answer

Immediate surgery

Answer

No therapy

Practice question

A 68-year-old man with bothersome lower urinary tract symptoms (LUTS) and an enlarged prostate on digital rectal examination (DRE) seeks medical therapy. What initial approach is reasonable?