Lester R. is a 58-year-old male who is being evaluated for nocturia. He reports that he has to get up 2 to 3 times

nightly to void. Additional assessment reveals urinary urgency and appreciable post-void dribbling. A digital rectal examination reveals a normal-sized prostate with no appreciable hypertrophy. The best approach to this patient includes:

A. Administration of the American Urological Association (AUA) Symptom Scale

B. Laboratory assessment to include a PSA

C. Ordering a prostate ultrasound

D. Assessment of nonprostate causes of nocturia

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