Question

A 70-year-old man with benign prostatic hyperplasia (BPH) complains of nocturia, hesitancy and weak stream. PSA is normal, urinalysis is clear and digital rectal examination is benign. What is the most appropriate initial pharmacological treatment?

Accepted Answer

Alpha-blocker such as Tamsulosin

Answer

5-alpha-reductase inhibitor such as Finasteride alone

Answer

Anticholinergic alone

Answer

Immediate TURP

Answer

Antibiotics

Practice question

A 70-year-old man with benign prostatic hyperplasia (BPH) complains of nocturia, hesitancy and weak stream. PSA is normal, urinalysis is clear and digital rectal examination is benign. What is the most appropriate initial pharmacological treatment?