A 68-year-old man has nocturia, weak stream, and hesitancy for 1 year. Prostate is enlarged and smooth. Urinalysis is normal, postvoid residual is

Question

A 68-year-old man has nocturia, weak stream, and hesitancy for 1 year. Prostate is enlarged and smooth. Urinalysis is normal, postvoid residual is low, and PSA is age-appropriate. Which of the following is the most appropriate next step in management?

Accepted Answer

Start tamsulosin

Answer

Treat with ciprofloxacin for 6 weeks

Answer

Start desmopressin as initial therapy

Answer

Start finasteride and expect immediate relief within hours

Answer

Order emergent prostatectomy

Benign prostatic hyperplasia — USMLE Step 3 MCQ

A 68-year-old man has nocturia, weak stream, and hesitancy for 1 year. Prostate is enlarged and smooth. Urinalysis is normal, postvoid residual is low, and PSA is age-appropriate. Which of the following is the most appropriate next step in management?