A 69-year-old man has bothersome urinary hesitancy and nocturia. Digital rectal examination shows a smooth enlarged prostate. Urinalysis is normal

Question

A 69-year-old man has bothersome urinary hesitancy and nocturia. Digital rectal examination shows a smooth enlarged prostate. Urinalysis is normal and postvoid residual is mildly elevated. Which of the following is the most appropriate next step in management?

Accepted Answer

Start tamsulosin

Answer

Prescribe desmopressin as first-line therapy

Answer

Schedule emergent cystectomy

Answer

Start cyclobenzaprine

Answer

Begin testosterone therapy

Benign prostatic hyperplasia — USMLE Step 3 MCQ

A 69-year-old man has bothersome urinary hesitancy and nocturia. Digital rectal examination shows a smooth enlarged prostate. Urinalysis is normal and postvoid residual is mildly elevated. Which of the following is the most appropriate next step in management?