MSFinals-6400

A 58-year-old man comes to see his GP with complaints of worsening urinary symptoms. He reports frequent urges to urinate throughout the day and has experienced occasional incontinence. He denies any hesitancy, dribbling, or weak stream. Despite trying bladder retraining, he has seen little improvement.

During the examination, the GP notes that the man’s prostate is smooth, regular, and not enlarged. A recent PSA test came back normal. The patient has no medical history and is not taking any regular medications.

What is the most appropriate course of action for managing this patient’s symptoms?