2-year Benign Prostatic Hyperplasia in Surgery — 70yo Man | Urology | SMLE Q#10974

SMLE Question #10974

Surgery Urology

Objective: OBJ-124

Last updated: February 2026
A 70-year-old man with a 2-year history of benign prostatic hyperplasia treated with an alpha-adrenergic blocker reports progressive difficulty initiating urination, weak stream, nocturia, sensation of incomplete emptying, and occasional overflow dribbling. He is adherent to therapy. Digital rectal examination shows a moderately enlarged, smooth, non-tender prostate. What is the most appropriate next step in management?

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