28th July 2023

You see an 82 year old man with a history of benign hypertrophic hyperplasia (BPH) in the geriatrics outpatient clinic.

You see an 82 year old man with a history of benign hypertrophic hyperplasia (BPH) in the geriatrics outpatient clinic. He has been complaining of chronic urinary incontinence for the last 9 months. He is frustrated as he can never predict when he needs to go to the toilet and frequently ends up wetting himself. He takes tamsulosin. However, he still complains of a weak stream and dribbling.

What is the next most appropriate pharmacological treatment option?

Select the SINGLE most appropriate option from the list below. Select ONE option only.