Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with moderate lower urinary tract symptoms (LUTS) characterized by frequency, nocturia (x[number]), hesitancy, weak urinary stream, and terminal dribbling. IPSS score is [score]. No history of hematuria, dysuria, or recurrent UTIs. No signs of urinary retention or overflow incontinence.
Clinical Examination Findings
Abdominal exam: Bladder non-palpable, no suprapubic tenderness. Digital Rectal Exam (DRE): Prostate is [size: small/moderate/large], smooth, firm, non-tender, with preserved median sulcus. No nodules or induration detected. External genitalia: Normal, no meatal stenosis.
Treatment Protocol
Initiate alpha-blocker therapy ([medication name]) to improve flow. Consider 5-alpha-reductase inhibitor ([medication name]) if prostate volume >30cc. Schedule follow-up in [timeframe] to reassess IPSS and uroflowmetry. Monitor for orthostatic hypotension.