Question

A 70-year-old man is seen in general practice with urinary frequency, nocturia and weak stream. DRE reveals a smooth, enlarged prostate. PSA is 2.3 µg/L. There is no haematuria or weight loss. What is the most appropriate initial management?

Accepted Answer

Start alpha-blocker therapy such as tamsulosin

Answer

Immediate referral for TURP

Answer

Start 5-alpha-reductase inhibitor alone

Answer

Start antibiotics for prostatitis

Answer

Order CT abdomen and pelvis urgently

Practice question

A 70-year-old man is seen in general practice with urinary frequency, nocturia and weak stream. DRE reveals a smooth, enlarged prostate. PSA is 2.3 µg/L. There is no haematuria or weight loss. What is the most appropriate initial management?