A 57-year-old man reports a gradual onset of a weak urinary stream, urgency, incomplete bladder emptying, and nocturia that occurs 2 to 3 times nightly. His medical history includes chronic obstructive lung disease, hypertension, hyperlipidemia, osteoarthritis, and symptomatic cataracts.
On physical examination, the patient's prostate is firm and symmetrically enlarged to about 30 cm3.Findings were normal on a screening prostate-specific antigen (PSA) test performed within the past year. Current urinalysis with microscopy is only remarkable for 2 white blood cells per high-power field (reference ranges provided parenthetically) (1-3 per high-power field), and his serum creatinine level is normal at 1.2 mg/dL (0.8-1.3 mg/dL) What could be the best possible treatment option for this patient?
