A 70-year-old man presents with lower urinary tract symptoms including hesitancy, poor stream and nocturia. Digital rectal examination reveals a smoot...

Question

A 70-year-old man presents with lower urinary tract symptoms including hesitancy, poor stream and nocturia. Digital rectal examination reveals a smooth, symmetrically enlarged prostate. PSA is mildly raised. There are no red-flag symptoms. What is the most appropriate initial pharmacological management for his symptoms?

Accepted Answer

Start an alpha-blocker such as Tamsulosin.

Answer

Start a 5-alpha-reductase inhibitor such as Finasteride alone.

Answer

Refer urgently via suspected cancer pathway.

Answer

Start broad-spectrum antibiotics.

Answer

Arrange immediate TURP.

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