A 64-year-old man comes to your office with an 8-month history of weak urinary stream, hesitancy, a sense of incomplete emptying, and nocturia 2 to 3 times nightly. His International Prostate Symptom Score (IPSS) is 18. He has hypertension treated with ramipril and has no other medical problems or known allergies. He has already limited evening fluids and caffeine and practises double voiding, without sufficient improvement. A cataract extraction is scheduled in 6 weeks. On examination the prostate is smooth, symmetric, and enlarged, with no nodules. Urinalysis is normal, creatinine is 82 µmol/L (60-110), PSA is 3.4 µg/L (0-4.0), and post-void residual volume is 40 mL. He has no hematuria, urinary tract infection, or retention.
| Heart rate | 72/min |
| Respiratory rate | 14/min |
| Temperature | 36.8 °C |
| O2 saturation | 98%, room air |
| Blood pressure | 138/84 mm Hg |
Question 1 of 15
Behavioural measures are insufficient and he wants medication. Given the planned cataract surgery, which one of the following is the most appropriate initial pharmacotherapy?
Select 1. (0 / 1 selected)
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