A 74-year-old man presents to the GP with urgency, frequency, and nocturia (waking 3 times per night). He has a history of benign prostatic hyperplasi...

Question

A 74-year-old man presents to the GP with urgency, frequency, and nocturia (waking 3 times per night). He has a history of benign prostatic hyperplasia and type 2 diabetes. A bladder diary confirms overactive bladder symptoms with urgency predominating. Post-void residual volume is 80 mL (normal). Conservative measures including bladder training have been tried for 6 weeks without improvement. What is the MOST appropriate next step?

Accepted Answer

Start Mirabegron 50 mg daily

Answer

Start Tamsulosin 400 micrograms daily

Answer

Start Oxybutynin 5 mg twice daily

Answer

Refer for transurethral resection of the prostate

Answer

Start Desmopressin for nocturia

uk-dgm MCQ (SBA): Overactive Bladder Management in Older Men