A 58-year-old with symptomatic BPH (IPSS 22) and prostate 40 g without retention prefers meds. Baseline BP normal. Best initial monotherapy?...

Question

A 58-year-old with symptomatic BPH (IPSS 22) and prostate 40 g without retention prefers meds. Baseline BP normal. Best initial monotherapy?

Accepted Answer

Alpha-1 blocker (e.g., tamsulosin)

Answer

5-alpha-reductase inhibitor alone

Answer

Anticholinergic alone

Answer

Surgical therapy immediately

Answer

No therapy for 6 months

us-abfm MCQ (SBA): Benign Prostatic Hyperplasia