23rd February 2024

A 76 year old gentleman presents with a 3 month history of difficulty passing urine.

A 76 year old gentleman presents with a 3 month history of difficulty passing urine. He reports that during micturition the flow is weak and he often has to get up several times at night to urinate. He feels well otherwise, denies any burning sensation when urinating and has not had any haematuria or change in urine odour. He has a history of hypertension and angina for which he takes regular medication. He is allergic to Penicillin which causes a widespread rash. The GP performs urinalysis:

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

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