CASE

A 72 year old man presented with lower urinary tract symptoms including urinary frequency, urgency, urge incontinence, weak stream, and straining. He started finasteride and tamsulosin but had minimal improvement with 6 months of conservative management. CT scan revealed the patient’s prostate volume was 113 mL, and his PSA was 2.0.

What procedure is commonly recommended for large prostates measuring > 100 mL?

A.   Prostatic artery embolization

B.   Prostatic urethral lift

C.   Water vapor thermal therapy

D.   Transurethral resection of the prostate