A 72-year-old man presents with difficulty initiating urination and nocturia. PSA is 12 µg/L (elevated), and digital rectal examination reveals a hard...

Question

A 72-year-old man presents with difficulty initiating urination and nocturia. PSA is 12 µg/L (elevated), and digital rectal examination reveals a hard irregular prostate. What is the most appropriate next step?

Accepted Answer

Refer urgently to a urologist for further assessment and biopsy

Answer

Start tamsulosin and no further investigation

Answer

Repeat PSA in 12 months

Answer

Reassure that this is benign prostatic hyperplasia

Answer

Start antibiotics for prostatitis without further tests

au-amc MCQ (SBA): Prostate cancer suspicion

A 72-year-old man presents with difficulty initiating urination and nocturia. PSA is 12 µg/L (elevated), and digital rectal examination reveals a hard irregular prostate. What is the most appropriate next step?