A 68-year-old man presents with lower urinary tract symptoms of hesitancy, poor stream and nocturia. Digital rectal examination reveals a smooth, enla...

Question

A 68-year-old man presents with lower urinary tract symptoms of hesitancy, poor stream and nocturia. Digital rectal examination reveals a smooth, enlarged prostate. PSA is mildly elevated. There are no red flag features. What is the most appropriate initial management?

Accepted Answer

Offer lifestyle advice and start an alpha-blocker

Answer

Immediate radical prostatectomy

Answer

Start long-term antibiotics

Answer

Insert long-term indwelling catheter

Answer

No treatment is required for these symptoms

uk-plab-1 MCQ (SBA): Benign prostatic hyperplasia

A 68-year-old man presents with lower urinary tract symptoms of hesitancy, poor stream and nocturia. Digital rectal examination reveals a smooth, enlarged prostate. PSA is mildly elevated. There are no red flag features. What is the most appropriate initial management?