23rd February 2024

A 55 year old gentleman presents with a 6 month history of nocturia.

A 55 year old gentleman presents with a 6 month history of nocturia. He reports that he is starting to feel very fatigued and this is affecting his work. On further questioning he admits that he has difficulty initiating micturition and often the flow is very weak. He had hoped his symptoms would improve, but instead they seem to have got worse over time. He denies any symptoms suggestive of a urinary tract infection and he is otherwise healthy except for high blood pressure for which he has not started any medication yet. He is allergic to nuts which cause a widespread rash. The GP takes a set of clinical observations:

Urine Dip Results – Glucose (negative), Ketones (negative), RBC (negative), Protein (negative), Leukocytes (+), Nitrites (negative)

Observations – HR (90bpm), RR (19), BP (172/85), Temp (36.4) and O2 Sats (98% on Room Air).

Prescribe one drug that could be prescribed for the patient to improve his symptoms.