Results - PrimaryCare
|
|
|
|
|
||
| Questions |
a 25% |
b 31% |
c 13% |
d 19% |
e 13% |
|
A 64-year-old man with LUTS, PSA of 3.0 ng/mL, and a DRE confirming moderate prostatic enlargement was started on an alpha-blocker. He returns to your office 1 month later stating that he “doesn't think it has helped much.”
At this point you:
| a. Continue with the alpha-blocker for an additional 2 months to ensure an adequate trial of therapy |
| b. Continue with the alpha-blocker and add a 5-alpha reductase inhibitor |
| c. Prescribe combination therapy with an antimuscarinic agent if he is emptying his bladder well and his persistent symptoms are storage related |
| d. Refer him to a urologist for further evaluation and management |
| e. Increase the alpha-blocker dose or switch to a titratable alpha-blocker |
