A 68-year-old man complains of lower urinary tract symptoms including hesitancy, weak stream and nocturia. PSA is normal for age and digital rectal ex...

Question

A 68-year-old man complains of lower urinary tract symptoms including hesitancy, weak stream and nocturia. PSA is normal for age and digital rectal examination shows a smooth, enlarged prostate. What is the most appropriate initial pharmacological treatment?

Accepted Answer

Alpha-1 adrenergic antagonist such as tamsulosin

Answer

5-alpha reductase inhibitor alone

Answer

Broad-spectrum antibiotics

Answer

Testosterone replacement therapy

Answer

No pharmacological therapy; immediate TURP

au-amc MCQ (SBA): Benign prostatic hyperplasia

A 68-year-old man complains of lower urinary tract symptoms including hesitancy, weak stream and nocturia. PSA is normal for age and digital rectal examination shows a smooth, enlarged prostate. What is the most appropriate initial pharmacological treatment?