A 67-year-old man (IPSS 18) has bothersome LUTS from BPH. Prostate is enlarged on DRE, PSA 2.2 ng/mL. Postvoid residual is normal. Which initial manag...

Question

A 67-year-old man (IPSS 18) has bothersome LUTS from BPH. Prostate is enlarged on DRE, PSA 2.2 ng/mL. Postvoid residual is normal. Which initial management is recommended?

Accepted Answer

Start an alpha‑1 blocker; consider adding 5‑alpha‑reductase inhibitor due to prostate enlargement

Answer

Start daily tadalafil only

Answer

Immediate TURP

Answer

Start anticholinergic monotherapy

Answer

Start finasteride alone for rapid symptom relief

us-abfm MCQ (SBA): Benign Prostatic Hyperplasia

A 67-year-old man (IPSS 18) has bothersome LUTS from BPH. Prostate is enlarged on DRE, PSA 2.2 ng/mL. Postvoid residual is normal. Which initial management is recommended?