8 Months Of Worsening in Surgery — 72yo Man | Urology | SMLE Q#12036
SMLE Question #12036
Surgery
Urology
Objective: OBJ-124
Last updated: February 2026
A 72-year-old man with known benign prostatic hyperplasia presents with 8 months of worsening lower urinary tract symptoms (frequency, urgency, weak stream, hesitancy, and incomplete emptying) despite long-term tamsulosin at maximum tolerated dose. Digital rectal examination shows a markedly enlarged, smooth, non-tender prostate. Bladder ultrasound shows a postvoid residual volume of 350 mL. He has no dysuria or fever and wants definitive symptom relief; he is otherwise fit for surgery. What is the most appropriate next step in management?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.