Instructions
You are an intern in the urology clinic. Alan Rowntree, 68, has bothersome urinary symptoms from an enlarged prostate. He has taken tamsulosin for six months with only partial benefit.
Take a focused history from Mr Rowntree
Explain the treatment options and agree a plan with Mr Rowntree
- You do not need to examine the patient; his DRE showed a smooth, symmetrically enlarged prostate
Results
PSA 2.8. Ultrasound: prostate 55 mL; residual 120 mL; kidneys normal. Creatinine 88. Urine culture negative.