Year 4common
A 59-year-old male presents to the clinic with progressive difficulty urinating, hesitancy, and a weak stream. He also complains about waking up multiple times at night to urinate. He denies hematuria, abdominal pain, or flank tenderness. Digital rectal examination reveals a smooth, symmetrically enlarged prostate. Urinalysis is unremarkable, and serum PSA is 3.9 ng/mLWhat is the most appropriate next step in management?