Mr. Tyler, a 68-year-old black man, complains of urinary frequency and an interrupted stream. What would be an appropriate response?
a. Discuss with him that he may have prostate cancer
b. Suggest that he see a physician for a PSA test
c. Tell him it is a completely normal part of aging
d. Tell him to accept it and do nothing
B
Symptoms of frequent urination, interruption in urinary stream, and dribbling of urine are common signs of benign prostatic hypertrophy (BPH), which is common in older men. The symptoms should be reported to a physician, who may suggest a prostate-specific antigen (PSA) test to help in diagnosis and assessing the possibility of cancer. Response A is inappropriate at this time. Response C is not the best answer. Although some urinary tract changes may occur with aging, the specific symptoms mentioned are characteristics of BPH. The symptoms can be embarrassing and annoying, so they should not be ignored (response D).
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