A 68-year-old man presents with lower urinary tract symptoms including poor stream, hesitancy and nocturia. Digital rectal examination reveals a smoot...

Question

A 68-year-old man presents with lower urinary tract symptoms including poor stream, hesitancy and nocturia. Digital rectal examination reveals a smooth, enlarged prostate and PSA is within age-related range. There is no haematuria or weight loss. What is the most appropriate initial pharmacological management?

Accepted Answer

Alpha-1 adrenergic blocker such as tamsulosin

Answer

5-alpha reductase inhibitor alone

Answer

Immediate transurethral resection of the prostate

Answer

Long-term antibiotic prophylaxis

Answer

Start chemotherapy

au-amc MCQ (SBA): Benign prostatic hyperplasia