8 Months Of Hesitancy in Surgery — 65yo Man | Urology | SMLE Q#11112

SMLE Question #11112

Surgery Urology

Objective: OBJ-124

Last updated: February 2026
A 65-year-old man presents to a primary care clinic with 8 months of hesitancy, weak urinary stream, straining to void, and nocturia 2–3 times nightly. He has no dysuria, fever, gross hematuria, or flank pain. Digital rectal examination shows a symmetrically enlarged, smooth, non-tender prostate without nodules. What is the most appropriate next step in management?

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