A 69-year-old man presents with lower urinary tract symptoms of hesitancy, weak stream and nocturia twice nightly. Digital rectal examination shows an...

Question

A 69-year-old man presents with lower urinary tract symptoms of hesitancy, weak stream and nocturia twice nightly. Digital rectal examination shows an enlarged, smooth prostate; PSA is 2.5 µg/L. According to CUA BPH guidelines, what is the most appropriate initial pharmacologic therapy?

Accepted Answer

Alpha-1 adrenergic blocker

Answer

5-alpha-reductase inhibitor alone

Answer

Combination alpha-blocker and 5-alpha-reductase inhibitor for all patients

Answer

Anticholinergic monotherapy

Answer

Immediate transurethral resection of the prostate

ca-mccqe1 MCQ (SBA): Benign prostatic hyperplasia

A 69-year-old man presents with lower urinary tract symptoms of hesitancy, weak stream and nocturia twice nightly. Digital rectal examination shows an enlarged, smooth prostate; PSA is 2.5 µg/L. According to CUA BPH guidelines, what is the most appropriate initial pharmacologic therapy?