Question

A 68-year-old man presents with difficulty starting urination, weak stream and nocturia. DRE shows enlarged, smooth prostate. PSA is mildly elevated. There are no red flags. What is the most appropriate initial pharmacological treatment?

Accepted Answer

Alpha-1 blocker such as tamsulosin

Answer

5-alpha reductase inhibitor alone

Answer

Immediate TURP

Answer

Antibiotics for presumed prostatitis

Answer

No treatment as this is normal ageing

Practice question

A 68-year-old man presents with difficulty starting urination, weak stream and nocturia. DRE shows enlarged, smooth prostate. PSA is mildly elevated. There are no red flags. What is the most appropriate initial pharmacological treatment?