Self-Assessment Questions

41. Diseases of the prostate

• A 60-year-old man presents to clinic with urinary hesitancy, nocturia and increased urgency of micturition. He is diagnosed with benign prostatic hyperplasia (BPH). What treatment options are available to him?

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  Correct answer:
  He could start with medical treatment to alleviate his symptoms. 5α-reductase inhibitors can help shrink his prostate, and α-adrenergic receptor antagonists can be used to treat his obstructive symptoms. Antimuscarinic agents can also be used to address bladder dysfunction. Surgical options include transurethral prostatectomy (TURP), laser ablation and microwave therapy of the prostate.